MEDLEY PHARMACY INC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

MEDLEY PHARMACY INC

21748 US HIGHWAY 65
PRINCETON, MO 64673

Phone: 660-748-4048
Fax: 660-748-4044
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
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MEDLEY PHARMACY INC

NPI # 1861134769

LBN Legal business name MEDLEY PHARMACY INC

Authorized official AMY MITCHELL - (PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 04/11/2022

Last updated 11/08/2024 - More than a year ago

Identifiers

MO	Medicaid	600068902
MO	Other	2500053848	STATE CONTROLLED SUBSTANCE BNDD
MO	Other	2019013879	STATE PHARMACY LICENSE

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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