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Organization
ARCADIA VALLEY DRUG ACQUISITION CO
Active
Organization
ARCADIA VALLEY DRUG ACQUISITION CO
Active
Other names
USA Drug of Arcadia Valley
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH KEAVENY (CONTRACTING MANAGER)
(612) 227-7811
Entity
Organization
Contact information
Practice address
605 N MAIN ST, IRONTON, MO 63650-1006
(573) 756-1024
(573) 747-0444
Mailing address
7645 E 63RD ST, SUITE 105, TULSA, OK 74133-1208
(918) 858-4619
(918) 592-4585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2005013885
MO
333600000X
Pharmacy
Primary
2005013885
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620054304
—
MO
Enumeration date
01/13/2006
Last updated
06/21/2010
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