Organization
MEDLEY PHARMACY INC
Active
Parent organization
MEDLEY PHARMACY, INC.
Other names
EverCare Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDLEY PHARMACY, INC.
Authorized official
MRS. AMY MITCHELL (PRESIDENT)
(573) 885-0885
Entity
Organization
Contact information
Practice address
21748 US HIGHWAY 65, PRINCETON, MO 64673
(660) 748-4048
(660) 748-4044
Mailing address
330 N. FRANKLIN, PO BOX, CUBA, MO 65453
(573) 885-0885
(573) 677-0567
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019013879
STATE PHARMACY LICENSE
MO
01
—
2500053848
STATE CONTROLLED SUBSTANCE BNDD
MO
05
—
600068902
—
MO
Enumeration date
04/11/2022
Last updated
11/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us