Organization
MEDLEY PHARMACY, INC
Active
Other names
Sinks Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOCAL HEALTH MISSOURI INC (OWNER)
(573) 885-0885
Entity
Organization
Contact information
Practice address
1000 GW LN STE 105, WAYNESVILLE, MO 65583-2339
(573) 433-2550
(573) 433-2552
Mailing address
1000 GW LN, SUITE 105, WAYNESVILLE, MO 65583-2339
(573) 433-2550
(573) 433-2552
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2015014160
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151976
PK
—
Enumeration date
05/19/2015
Last updated
09/12/2022
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