# LAKE PARK PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHANCY DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508964537
- **Authorized official:** HUGH CHANCY RPH (OWNER)
- **Authorized official phone:** (229) 794-3525

## Contact information

- **Practice address:** 453 LAKES BLVD, LAKE PARK, GA 31636-6607
- **Practice address phone:** (229) 559-9394
- **Practice address fax:** (229) 559-9408
- **Mailing address:** 453 LAKES BLVD, LAKE PARK, GA 31636-6607
- **Mailing address phone:** (229) 559-9394
- **Mailing address fax:** (229) 559-9408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE008870 | GA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 06/10/2015