# FREDS STORES OF TENNESSEE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDS INC
- **Other names:** FREDS PHARMACY 1054
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194887372
- **Legal business name:** FREDS INC
- **Authorized official:** RICKY CHAMBERS PHARMD (VP)
- **Authorized official phone:** (901) 238-2477

## Contact information

- **Practice address:** 4111 MARTHA BERRY HWY NW, ROME, GA 30165-7705
- **Practice address phone:** (706) 378-8073
- **Practice address fax:** (706) 378-8076
- **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 |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHR009104 | GA | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 01/11/2008