# FREDS STORES OF TENNESSEE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDS INC
- **Other names:** Freds Pharmacy 3878
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548565211
- **Legal business name:** FREDS INC
- **Authorized official:** DR. RICKY CHAMBERS PHARMD (VP)
- **Authorized official phone:** (901) 238-2477

## Contact information

- **Practice address:** 541 JACKSON BLVD, BIRMINGHAM, AL 35217-3631
- **Practice address phone:** (205) 841-6436
- **Practice address fax:** (205) 841-6432
- **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 |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 113502 | AL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 08/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 125988 | — | AL |