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Contact Information

MEDLEY PHARMACY INC
503 W MAIN
STEELVILLE, MO65565
 Phone: 573-775-2900
 Fax: 573-775-3199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MEDLEY PHARMACY INC

NPI # 1679601421
LBN Legal business name MEDLEY PHARMACY INC
Authorized official LOCAL HEALTH MISSOURI INC - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2007
Last updated 09/12/2022 - About 4 years ago
Identifiers
MO License # 2014014683
MO Medicaid 605370006
Other 2146311 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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