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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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