Organization
MEDLEY PHARMACY
Active
Other names
LTC THE TOWNE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOCAL HEALTH MISSOURI INC (OWNER)
(573) 885-0885
Entity
Organization
Contact information
Practice address
200 N FRANKLIN ST, CUBA, MO 65453-1705
(573) 885-7212
Mailing address
PO BOX 528, CUBA, MO 65453-0528
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600245401
—
MO
Enumeration date
11/02/2018
Last updated
09/12/2022
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