Organization
CHANEY'S PHARMACY OF GRENADA, INC.
Active
Other names
Chaney's Home Infusion Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CASH (PRESIDENT)
(662) 226-5352
Entity
Organization
Contact information
Practice address
1716 COMMERCE ST, GRENADA, MS 38901-4615
(662) 226-5352
(662) 226-4352
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
00850/01.1
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
00850/01.1
MS
333600000X
Pharmacy
00850/01.1
MS
3336C0003X
Community/Retail Pharmacy
00850/01.1
MS
3336H0001X
Home Infusion Therapy Pharmacy
00850/01.1
MS
3336L0003X
Long Term Care Pharmacy
00850/01.1
MS
3336M0002X
Mail Order Pharmacy
Primary
00850/01.1
MS
3336S0011X
Specialty Pharmacy
00850/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030310
—
MS
05
—
00440538
—
MS
01
—
2508402
NABP
—
Enumeration date
07/15/2006
Last updated
09/11/2025
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