# FREDS STORES OF TENNESSEE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDS INC
- **Other names:** Freds Pharmacy 1199
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922325281
- **Legal business name:** FREDS INC
- **Authorized official:** RICKY CHAMBERS PHARMD (VP)
- **Authorized official phone:** (901) 238-2477

## Contact information

- **Practice address:** 214 GA HIGHWAY 49 S, BYRON, GA 31008-6937
- **Practice address phone:** (478) 956-0478
- **Practice address fax:** (478) 956-0281
- **Mailing address:** 214 GA HIGHWAY 49 S, BYRON, GA 31008-6937
- **Mailing address phone:** (478) 956-0478
- **Mailing address fax:** (478) 956-0281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE009661 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | — | GA | Yes |

## Other

- **Enumeration date:** 04/27/2010
- **Last updated:** 08/09/2011