# CHANCY DRUGS VALDOSTA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669738605
- **Authorized official:** BERT A CHANCY (OWNER)
- **Authorized official phone:** (229) 794-3525

## Contact information

- **Practice address:** 2333 N ASHLEY ST, VALDOSTA, GA 31602-2621
- **Practice address phone:** (229) 794-3525
- **Practice address fax:** (229) 794-1059
- **Mailing address:** 205 E MAIN ST, HAHIRA, GA 31632-1121
- **Mailing address phone:** (229) 794-3525
- **Mailing address fax:** (229) 794-1059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/04/2012
- **Last updated:** 04/04/2012