Chasty Patrice Grady, PHARMD Valid NPI

Individual provider · Pharmacist · Diberville, MS

NPI

1346535564

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

E010568 (MS)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-06-15

Last updated

2015-04-23