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Organization

CHANEY FAMILY PHARMACY, LLC

Active
Other names
Corner Drug
Organization subpart
No

Provider details

NPI number
Authorized official
JODY CHANEY (PIC/OWNER)
(325) 242-0345
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
29470
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147026
TX
01
2169364
PK
Enumeration date
06/18/2017
Last updated
06/18/2017
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