Organization
CHANCY DRUGS MOULTRIE LLC
Active
Other names
Arwood Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH CHANCY (OWNER)
(229) 794-3525
Entity
Organization
Contact information
Practice address
101 N MAIN ST, MOULTRIE, GA 31768-3863
(229) 985-9080
(229) 985-5600
Mailing address
205B E MAIN ST, HAHIRA, GA 31632-1121
(229) 794-3525
(229) 794-1059
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010195
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003170652A
—
GA
01
—
2155390
PK
—
Enumeration date
02/20/2007
Last updated
01/22/2016
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