# COMMUNITY HOME CARE PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Failla's Vital Care, Failla's Vital Care Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346279015
- **Authorized official:** MR. ANDREW L. FAILLA RPH (PRESIDENT)
- **Authorized official phone:** (601) 798-4846

## Contact information

- **Practice address:** 110 HIGHWAY 11 N, SUITE A, PICAYUNE, MS 39466-3312
- **Practice address phone:** (601) 798-4830
- **Practice address fax:** (601) 798-4825
- **Mailing address:** PO BOX 10, PICAYUNE, MS 39466
- **Mailing address phone:** (601) 798-4846
- **Mailing address fax:** (601) 798-4825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 05766/02.0 | MS | — |
| 332BC3200X | Customized Equipment (DME) | 05766/02.0 | MS | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 05766/02.0 | MS | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 05766/02.0 | MS | — |
| 333600000X | Pharmacy | 05766/02.0 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | 05766/02.0 | MS | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | 05766/02.0 | MS | — |
| 3336L0003X | Long Term Care Pharmacy | 05766/02.0 | MS | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | 05766/02.0 | MS | — |
| 3336S0011X | Specialty Pharmacy | 05766/02.0 | MS | — |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 06/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000015704 | BCBS | MS |
| 01 | — | 000015706 | BCBS OF MS | MS |
| 05 | — | 00040327 | — | MS |
| 05 | — | 01155851 | — | MS |
| 01 | — | 0576611.2 | MS BOARD OF PHARMACY | MS |
| 05 | — | 1262846 | — | MS |