Organization
CHANEY FAMILY PHARMACY LLC
Active
Other names
Corner Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JODY CHANEY (PRESIDENT)
(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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147026
—
TX
01
—
2146324
PK
—
Enumeration date
10/26/2006
Last updated
03/31/2016
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