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MEDICINE SHOPPE — OIG Excluded Provider (CHILLICOTHE, MO, 1128b4)

MEDICINE SHOPPE — OIG Excluded Provider (CHILLICOTHE, MO, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MEDICINE SHOPPE; Type: Entity; Provider category: PHARMACY.

NameMEDICINE SHOPPE
TypeEntity
Provider categoryPHARMACY
NPI1144332149
CityCHILLICOTHE
StateMO
ZIP64601
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2010-03-18
SourceHHS-OIG LEIE

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