SUPER S PHARMACY — OIG Excluded Provider (SAN ANTONIO, TX, 1128b4)
SUPER S PHARMACY — OIG Excluded Provider (SAN ANTONIO, TX, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: SUPER S PHARMACY; Type: Entity; Provider category: PHARMACY.
| Name | SUPER S PHARMACY |
|---|---|
| Type | Entity |
| Provider category | PHARMACY |
| City | SAN ANTONIO |
| State | TX |
| ZIP | 78220 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 1996-04-23 |
| Source | HHS-OIG LEIE |
$1499/mo
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