# FREDS STORES OF TENNESSEE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDS INC
- **Other names:** Freds Pharmacy 3801
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114234549
- **Legal business name:** FREDS INC
- **Authorized official:** DR. RICKY CHAMBERS PHARMD (VP)
- **Authorized official phone:** (901) 238-2477

## Contact information

- **Practice address:** 641 DELMAS AVE, PASCAGOULA, MS 39567-4226
- **Practice address phone:** (228) 769-6362
- **Mailing address:** 4300 NEW GETWELL RD, MEMPHIS, TN 38118-6801
- **Mailing address phone:** (901) 238-2520
- **Mailing address fax:** (901) 365-9820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 04529017 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2010
- **Last updated:** 11/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04529017 | — | MS |