Organization
COMMUNITY HOME CARE PHARMACY INC.
Active
Other names
Failla's Vital Care, Failla's Vital Care Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW L. FAILLA RPH (PRESIDENT)
(601) 798-4846
Entity
Organization
Contact information
Practice address
110 HIGHWAY 11 N, SUITE A, PICAYUNE, MS 39466-3312
(601) 798-4830
(601) 798-4825
Mailing address
PO BOX 10, PICAYUNE, MS 39466
(601) 798-4846
(601) 798-4825
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
05766/02.0
MS
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
05766/02.0
MS
3336S0011X
Specialty Pharmacy
05766/02.0
MS
Other
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
Enumeration date
07/03/2006
Last updated
06/19/2020
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