MEDICARE: CHIPLEY DRUGS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	PH0010636	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1008021	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1306821376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIPLEY DRUGS INC

Provider Business Mailing Address
First Line	:	1330 SOUTH BLVD
Second Line	:
City	:	CHIPLEY
State	:	FL
Zip	:	32428-1846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 SOUTH BLVD
Second Line	:
City	:	CHIPLEY
State	:	FL
Zip	:	32428-1846
Country	:	US
Telephone Number	:	850-638-1040
Fax Number	:	850-638-7016

Authorized Official
Title or Position	:	PRES
Name	:	MARION KLING
Credential	:	R PH
Telephone Number	:	850-638-1040

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	09/11/2025

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Directions to “CHIPLEY DRUGS INC ” Practice Location

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