# CHANEY FAMILY PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corner Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225568744
- **Authorized official:** JODY CHANEY (PIC/OWNER)
- **Authorized official phone:** (325) 242-0345

## Contact information

- **Practice address:** 1001 HICKORY ST, COLORADO CITY, TX 79512-5213
- **Practice address phone:** (325) 728-8030
- **Practice address fax:** (325) 728-2486
- **Mailing address:** PO BOX 1267, COLORADO CITY, TX 79512-1267
- **Mailing address phone:** (325) 728-8030
- **Mailing address fax:** (325) 728-2486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 29470 | TX | Yes |

## Other

- **Enumeration date:** 06/18/2017
- **Last updated:** 06/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 147026 | — | TX |
| 01 | — | 2169364 | PK | — |