Organization
CHANCY DRUGS VALDOSTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERT A CHANCY (OWNER)
(229) 794-3525
Entity
Organization
Contact information
Practice address
2333 N ASHLEY ST, VALDOSTA, GA 31602-2621
(229) 794-3525
(229) 794-1059
Mailing address
205 E MAIN ST, HAHIRA, GA 31632-1121
(229) 794-3525
(229) 794-1059
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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