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Contact Information

MEDLEY PHARMACY INC
601 E HWY 28
OWENSVILLE, MO65066
 Phone: 573-437-3440
 Fax: 573-437-4963
 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 Number 1891885687
LBN Legal business name MEDLEY PHARMACY INC
Authorized official LOCAL HEALTH MISSOURI INC - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 01/12/2023 - About 3 years ago
Identifiers
MO License # 2005000324
MO Medicaid 601586209
Other 2049803 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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