Organization
ARCADIA VALLEY DRUG CO
Active
Other names
SOUTHEAST MISSOURI QUALITY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LAFRANCE JR (PRESIDENT)
(501) 492-4662
Entity
Organization
Contact information
Practice address
1351 AIRPARK DR, FARMINGTON, MO 63640-2066
(573) 760-0333
(573) 760-0521
Mailing address
1351 AIRPARK DR, FARMINGTON, MO 63640-2066
(573) 760-0033
(573) 760-0521
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2008004661
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136714014
—
MO
01
—
2049633
PK
—
Enumeration date
03/21/2008
Last updated
09/11/2013
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