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General NPI Number Information
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NPI Number | 1376714014
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Entity Type | Organization
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Legal Business Name | ARCADIA VALLEY DRUG CO
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 1351 AIRPARK DR
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City | FARMINGTON
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State | MO
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Zip | 63640-2066
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Country | US
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Telephone | 573-760-0333
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Fax | 573-760-0521
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Provider Business Mailing Address
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Address Line | 1351 AIRPARK DR
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City | FARMINGTON
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State | MO
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Zip | 63640-2066
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Country | US
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Telephone | 573-760-0033
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Fax | 573-760-0521
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN LAFRANCE JR
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Credential |
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Telephone | 501-492-4662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 2008004661
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License Number State | MO
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