Provider Type Icon

CHANCY DRUGS MOULTRIE LLC NPI 1801931555


NPI Information

NPI: 1801931555
Provider Name: CHANCY DRUGS MOULTRIE LLC

Doing Business As: ARWOOD DRUG COMPANY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 11D2184893

Address:
101 N MAIN ST
MOULTRIE, GA
ZIP 31768
Phone: (229) 985-9080
Get Directions

CHANCY DRUGS MOULTRIE LLC is a pharmacy in Moultrie, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CHANCY DRUGS MOULTRIE LLC NPI is 1801931555. The provider is registered as an organization entity type.
The provider Is Doing Business As Arwood Drug Company.

The provider's business location address is:

101 N MAIN ST
MOULTRIE, GA
ZIP 31768-863
Phone: (229) 985-9080
Fax: (229) 985-5600

The provider's authorized official is Hugh Chancy .
The authorized official title is Owner and has the following contact phone number (229) 794-3525.

The CLIA number assigned to this NPI record is 11D2184893 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 1/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyPHRE010195GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003170652AMEDICAIDGEORGIA
22155390OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.