Organization
MEDLEY PHARMACY INC.
Active
Parent organization
MEDLEY PHARMACY INC.
Other names
Hometown Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDLEY PHARMACY INC.
Authorized official
MRS. AMY MITCHELL (PRESIDENT)
(573) 885-0885
Entity
Organization
Contact information
Practice address
601 LOCUST ST, CHILLICOTHE, MO 64601-2250
(660) 646-7455
(660) 646-4838
Mailing address
330 N. FRANKLIN, PO BOX 528, CUBA, MO 65453
(573) 885-0885
(573) 677-0567
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
2002007461
MO
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2634435
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
605679307
—
MO
Enumeration date
08/18/2006
Last updated
07/25/2023
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