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Organization

MEDLEY PHARMACY INC

Active
Other names
SINKS PHARMACY SOUTH
Organization subpart
No

Provider details

NPI number
Authorized official
LOCAL HEALTH MISSOURI INC (OWNER)
(573) 885-0885
Entity
Organization

Contact information

Practice address
1100B S BISHOP AVE, ROLLA, MO 65401-4418
(573) 308-4899
(573) 308-4893
Mailing address
PO BOX 528, CUBA, MO 65453-0528
(573) 885-0885
(573) 677-0567

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
2005000322
MO
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2048269
PK
05
604007401
MO
05
624007407
MO
Enumeration date
09/14/2006
Last updated
09/25/2024
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