Organization
MEDLEY PHARMACY INC.
Active
Parent organization
MEDLEY PHARMACY INC.
Other names
EverCare Pharmacy
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 64673-7865
(660) 748-4048
(660) 748-4044
Mailing address
330 N FRANKLIN, PO BOX 528, CUBA, MO 65453
(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
—
—
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
04/27/2019
Last updated
11/08/2024
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