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Organization
FREDS STORES OF TENNESSEE INC
Active
Organization
FREDS STORES OF TENNESSEE INC
Active
Parent organization
FREDS INC.
Other names
Freds Pharmacy 3569
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDS INC.
Authorized official
RAHUL KULKARNI (SVP OF FINANCE)
(800) 374-7414
Entity
Organization
Contact information
Practice address
1128 SECOND AVENUE NE, FRED'S PHARMACY #3569, FAYETTE, AL 35555-1739
(205) 932-5400
(205) 932-5401
Mailing address
6625 LENOX PARK BLVD., SUITE 200, MEMPHIS, TN 38115
(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
—
148186
—
AL
Enumeration date
04/11/2013
Last updated
12/06/2019
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