Organization
MEDLEY PHARMACY INC
Active
Other names
Medley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOCAL HEALTH MISSOURI INC (OWNER)
(573) 885-0885
Entity
Organization
Contact information
Practice address
733 W SPRINGFIELD AVE, GERALD, MO 63037-2135
(573) 764-5980
(573) 764-5982
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
2008034039
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117827
PK
—
05
—
606398402
—
MO
Enumeration date
11/07/2008
Last updated
09/12/2022
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