# ARCADIA VALLEY DRUG ACQUISITION CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** USA Drug of Arcadia Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578542924
- **Authorized official:** DEBORAH KEAVENY (CONTRACTING MANAGER)
- **Authorized official phone:** (612) 227-7811

## Contact information

- **Practice address:** 605 N MAIN ST, IRONTON, MO 63650-1006
- **Practice address phone:** (573) 756-1024
- **Practice address fax:** (573) 747-0444
- **Mailing address:** 7645 E 63RD ST, SUITE 105, TULSA, OK 74133-1208
- **Mailing address phone:** (918) 858-4619
- **Mailing address fax:** (918) 592-4585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2005013885 | MO | — |
| 333600000X | Pharmacy | 2005013885 | MO | Yes |

## Other

- **Enumeration date:** 01/13/2006
- **Last updated:** 06/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 620054304 | — | MO |