Dr. Chasty Patrice Grady, PharmD
Pharmacist in Diberville, MS. Individual provider (NPI-1).
NPI number1346535564
StatusActive
Last updated in NPPESApr 23, 2015
Details
- NPI
- 1346535564
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chasty Patrice Grady
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2011
- Last updated
- Apr 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | E010568 | MS | Yes |
Practice location
3867 Promenade PkwyDiberville, MS 39540-5372
Phone 228-233-3302 · Fax 228-233-3312
Mailing address
3867 Promenade PkwyDiberville, MS 39540-5372
Phone 228-233-3302 · Fax 228-233-3312
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