DKC SHOP INC
Restricted
DKC SHOP INC is subject to Restricted. See the individual lists below.
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Address
6313 Vine Street,Cincinnati,Ohio,45216
ID Details
ID NUMBER : 1386638336
ID TYPE : Npi
ID NUMBER : 2163091
ID TYPE : Provider ID
View Notes
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DKC SHOP INC Sanctioned By Below Authority
List Name | List Authority | Effective Date ▼ | Status |
---|---|---|---|
| The Ohio Department of Medicaid (ODM) | Jun 11, 2011 | active |
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