Organization
MEDLEY PHARMACY INC
Active
Other names
LTC Medley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOCAL HEALTH MISSOURI INC (OWNER)
(573) 885-0885
Entity
Organization
Contact information
Practice address
733 W SPRINGFIELD AVE, GERALD, MO 63037-2135
(573) 764-5980
(573) 764-5982
Mailing address
PO BOX 528, CUBA, MO 65453-0528
(573) 885-0885
(573) 677-0567
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606398402
—
MO
Enumeration date
03/26/2024
Last updated
03/26/2024
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