Corner Drug

LBN: Chaney Family Pharmacy, Llc
Corner Drug is an health care organization with primary practice located at 1001 Hickory St , Colorado City TX 79512-5213. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Chaney Family Pharmacy, Llc can be contacted via phone (325) 728-8030, or through Chaney, Jody via phone (325) 242-0345.

Contact Information

Primary practice address
1001 Hickory St Colorado City TX 79512-5213
Phone: (325) 728-8030
Fax: (325) 728-2486
Website:
Map and Directions
Authorized official contact:
Name: Chaney, Jody
Phone: (325) 242-0345

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 29470 Texas

Profile Details

NPI number 1225568744
LBN Legal business name Chaney Family Pharmacy, Llc
DBA Doing business as Corner Drug
Authorized official Chaney, Jody
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2017
Last updated Jun 18th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225568744 NPPES
Other 2169364 PK
MEDICAID 147026 PK

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