# CHANEYS PHARMACY OF GRENADA INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DYRE KENT DRUG CO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023113974
- **Authorized official:** JAMES MOORE (MANAGER)
- **Authorized official phone:** (662) 226-5232

## Contact information

- **Practice address:** 109 1ST ST, GRENADA, MS 38901-2615
- **Practice address phone:** (662) 226-5232
- **Practice address fax:** (662) 226-5252
- **Mailing address:** PO BOX 100, GRENADA, MS 38902-0100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 00229010 | MS | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 12/06/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00159098 | — | MS |
| 05 | — | 00330676 | — | MS |
| 01 | — | 2503729 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |