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Contact Information

MEDLEY PHARMACY INC.
601 LOCUST ST
CHILLICOTHE, MO64601-2250
 Phone: 660-646-7455
 Fax: 660-646-4838
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 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
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for MEDLEY PHARMACY INC.

NPI Number 1043324015
LBN Legal business name MEDLEY PHARMACY INC.
Authorized official AMY MITCHELL - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/18/2006
Last updated 07/25/2023 - About 3 years ago
Identifiers
MO License # 2002007461
MO Medicaid 605679307
Other 2634435 NCPDP PROVIDER IDENTIFICATION NUMBER
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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