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General NPI Number Information
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NPI Number | 1407869571
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Entity Type | Organization
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Legal Business Name | LONDON VALU RITE PHARMACY, INC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 130 WALMART PLAZA DR
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City | MONTICELLO
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State | KY
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Zip | 42633-7943
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Country | US
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Telephone | 606-348-1800
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Fax | 606-348-1800
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Provider Business Mailing Address
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Address Line | 130 WALMART PLAZA DR UNIT 1
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City | MONTICELLO
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State | KY
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Zip | 42633-7943
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Country | US
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Telephone | 606-348-1800
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Fax | 606-348-1708
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Authorized Official
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Title or Position | VICE PRESIDENT, PHARMACY OPERATIONS
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Name | DR. JAMES ARTHUR STATON IV
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Credential | PHARMD
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Telephone | 606-306-1248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | P06279
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P06279
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License Number State | KY
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