Organization
LONDON VALU RITE PHARMACY, INC
Active
Parent organization
ADDICTION RECOVERY CARE LLC
Other names
South Creek Drug
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADDICTION RECOVERY CARE LLC
Authorized official
DR. JAMES ARTHUR STATON IV PHARMD (VICE PRESIDENT, PHARMACY OPERATIONS)
(606) 306-1248
Entity
Organization
Contact information
Practice address
130 WALMART PLAZA DR, MONTICELLO, KY 42633-7943
(606) 348-1800
(606) 348-1800
Mailing address
130 WALMART PLAZA DR UNIT 1, MONTICELLO, KY 42633-7943
(606) 348-1800
(606) 348-1708
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P06279
KY
3336C0003X
Community/Retail Pharmacy
Primary
P06279
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031425
—
OH
05
—
54032289
—
KY
Enumeration date
08/13/2006
Last updated
05/23/2025
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