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ARCADIA VALLEY DRUG CO NPI 1376714014


NPI Information

NPI: 1376714014
Provider Name: ARCADIA VALLEY DRUG CO

Doing Business As: SOUTHEAST MISSOURI QUALITY CARE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1351 AIRPARK DR
FARMINGTON, MO
ZIP 63640
Phone: (573) 760-0333
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ARCADIA VALLEY DRUG CO is a long term care pharmacy pharmacy in Farmington, MO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ARCADIA VALLEY DRUG CO NPI is 1376714014. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Missouri Quality Care.

The provider's business location address is:

1351 AIRPARK DR
FARMINGTON, MO
ZIP 63640-066
Phone: (573) 760-0333
Fax: (573) 760-0521

The provider's authorized official is Stephen Lafrance Jr .
The authorized official title is President and has the following contact phone number (501) 492-4662.

The enumeration date for this NPI number is 3/21/2008 and was last updated on 9/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy2008004661MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15430570002MEDICARE NSC
22049633OTHERPK
3136714014MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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