# FREDS STORES OF TENNESSEE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDS INC.
- **Other names:** Freds Pharmacy 3569
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720421597
- **Legal business name:** FREDS INC.
- **Authorized official:** RAHUL KULKARNI (SVP OF FINANCE)
- **Authorized official phone:** (800) 374-7414

## Contact information

- **Practice address:** 1128 SECOND AVENUE NE, FRED'S PHARMACY \#3569, FAYETTE, AL 35555-1739
- **Practice address phone:** (205) 932-5400
- **Practice address fax:** (205) 932-5401
- **Mailing address:** 6625 LENOX PARK BLVD., SUITE 200, MEMPHIS, TN 38115
- **Mailing address phone:** (901) 238-2520
- **Mailing address fax:** (901) 365-9820

## Taxonomy

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

## Other

- **Enumeration date:** 04/11/2013
- **Last updated:** 12/06/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 148186 | — | AL |