Organization
MEDLEY PHARMACY INC.
Active
Other names
Medley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MITCHELL PHARMD (OWNER)
(573) 437-3440
Entity
Organization
Contact information
Practice address
733 W SPRINGFIELD RD, GERALD, MO 63037
(573) 764-5980
(573) 764-5982
Mailing address
P.O. BOX 528, OWENSVILLE, MO 65066
(573) 437-3440
(573) 437-6909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2008034039
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2638293
NCPDP
MO
05
—
606398402
—
MO
Enumeration date
07/30/2010
Last updated
07/30/2010
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