National Provider Identifier Database

MEDLEY PHARMACY INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

MEDLEY PHARMACY INC.
601 LOCUST ST
CHILLICOTHE, MO64601-2250
Phone: 660-646-7455
Fax: 660-646-4838
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X
Nursing Facility Supplies 332BN1400X
Prosthetic/Orthotic Supplier 335E00000X

* Indicates primary specialty

NPI Profile & details for MEDLEY PHARMACY INC.

NPI Number 1043324015
Legal business name
LBN
MEDLEY PHARMACY INC.
Authorized official AMY MITCHELL - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 08/18/2006
Last updated 07/25/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 2002007461
  • MO Medicaid: 605679307
  • Other: 2634435 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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