Medicare Supplier MEDLEY PHARMACY INC Details

Globally Unique Supplier Identifier: 20455721

medicare equipment supplier status:  active since 2018-04-01

Supplier: MEDLEY PHARMACY INC

Reference Information. Full Replica of the CMS (NPPES) Record

Field Name Field Value
Supplier ID 20455721
Globally Unique Supplier Identifier
Company Name MEDLEY PHARMACY INC
Supplier Company Name
Doing Business As (DBA) SINKS PHARMACY
Alternative Company Name or Doing Business As (DBA)
Participation Begin Date 2018-04-01
Participation Begin Date
Address Line 1375 B EAST 10TH ST
Delivery Address Line
City ROLLA
Business Address City
State MO
Business Address State
Zip 65401
Business Address Zip
Phone Number 573-364-9616
Business Phone Number
Specialities List
  • Certified Other
  • Pharmacy
Specialities List
Product Category Name(s)
  • Blood Glucose Monitors/Supplies (Non-Mail Order)
  • Canes and/or Crutches
  • Diabetic Shoes and Inserts
  • Diabetic Shoes/Inserts - Custom
  • Epoetin
  • Immunosuppressive Drugs
  • Infusion Drugs
  • Nebulizer Drugs
  • Nebulizer Equipment and/or Supplies
  • Oral Anticancer Drugs
  • Oral Antiemetic Drugs
  • Ostomy Supplies
  • Surgical Dressings
  • Urological Supplies
  • Walkers
Category, which supplier's products belong to (wheelchairs, scooters, surgical tools, etc.)
Latitude 37.95162
Business Practice Latitude
Longitude -91.74908
Business Practice Longitude
Is Contracted For CBA False
Is Contracted For CBA

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