PRAIRIE PHARMACY, INC — OIG Excluded Provider (BEVERLY HILLS, CA, 1128a1)
PRAIRIE PHARMACY, INC — OIG Excluded Provider (BEVERLY HILLS, CA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: PRAIRIE PHARMACY, INC; Type: Entity; Provider category: PHARMACY.
| Name | PRAIRIE PHARMACY, INC |
|---|---|
| Type | Entity |
| Provider category | PHARMACY |
| City | BEVERLY HILLS |
| State | CA |
| ZIP | 90211 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 1990-07-30 |
| Source | HHS-OIG LEIE |
$1499/mo
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