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Organization
FREDS STORES OF TENNESSEE INC.
Active
Organization
FREDS STORES OF TENNESSEE INC.
Active
Parent organization
FRED'S INC.
Other names
Fred's Pharmacy 3722
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRED'S INC.
Authorized official
RICK CHAMBERS (VICE PRESIDENT)
(901) 238-2477
Entity
Organization
Contact information
Practice address
1603 RINGGOLD AVE, COUSHATTA, LA 71019-9084
(318) 932-5194
(318) 932-9507
Mailing address
4300 NEW GETWELL RD, MEMPHIS, TN 38118-6801
(901) 238-2520
(901) 365-9820
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202871
—
LA
Enumeration date
06/24/2014
Last updated
12/11/2014
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