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Organization

MEDLEY PHARMACY INC

Active
Other names
SINKS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
LOCAL HEALTH MISSOURI INC (OWNER)
(573) 885-0885
Entity
Organization

Contact information

Practice address
1375 E 10TH ST STE B, ROLLA, MO 65401-3591
(573) 364-9616
(573) 341-3986
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
2005000323
MO
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2051461
PK
05
603143009
MO
05
623143005
MO
Enumeration date
09/12/2006
Last updated
01/13/2023
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