Organization
CHANCY DRUGS HAHIRA LLC
Active
Other names
CHANCY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ROUNTREE (PHARMACIST IN CHARGE)
(229) 794-2750
Entity
Organization
Contact information
Practice address
205 E MAIN ST, HAHIRA, GA 31632-1121
(229) 794-2750
(229) 794-4092
Mailing address
205 E MAIN ST, HAHIRA, GA 31632-1121
(229) 794-2750
(229) 794-4092
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003128
GA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023053A
—
GA
01
—
2012397
PK
—
Enumeration date
11/02/2006
Last updated
06/10/2015
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