Organization
MEDLEY PHARMACY INC
Active
Parent organization
MEDLEY PHARMACY INC
Other names
LTC EVERCARE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDLEY PHARMACY INC
Authorized official
JILLIAN GARRISON CPHT (LICENSING/CREDENTIALING SPECIALIST)
(573) 885-0885
Entity
Organization
Contact information
Practice address
1903 E 9TH ST, TRENTON, MO 64683-2645
(660) 359-5700
(660) 359-5701
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
Enumeration date
11/05/2024
Last updated
11/05/2024
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