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Organization
CHANEYS PHARMACY OF GRENADA INC
Active
Organization
CHANEYS PHARMACY OF GRENADA INC
Active
Other names
DYRE KENT DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MOORE (MANAGER)
(662) 226-5232
Entity
Organization
Contact information
Practice address
109 1ST ST, GRENADA, MS 38901-2615
(662) 226-5232
(662) 226-5252
Mailing address
PO BOX 100, GRENADA, MS 38902-0100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00229010
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00159098
—
MS
05
—
00330676
—
MS
01
—
2503729
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/14/2006
Last updated
12/06/2007
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