<Unavail>
LBN: Medley Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 606 Highway 63 S , Vienna MO 65582-8101. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Medley Pharmacy Inc can be contacted via phone (573) 422-6400, or through Missouri Inc, Local Health via phone (573) 885-0885.
Contact Information
Primary practice address
606 Highway 63 S
Vienna MO 65582-8101
Phone: (573) 422-6400
Fax: (573) 422-6403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2008006197 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1538158274 |
|---|---|
| LBN Legal business name | Medley Pharmacy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Missouri Inc, Local Health |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 16th, 2005 |
| Last updated | Jun 2nd, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538158274 | NPPES |
| Missouri | MEDICAID | 606181303 | |
| Missouri | Other | 2049070 |
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