# FRED'S INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932570173
- **Authorized official:** KENNETH BAIRD (PHARMACY MANAGER)
- **Authorized official phone:** (931) 729-1177

## Contact information

- **Practice address:** 1797 HIGHWAY 100, CENTERVILLE, TN 37033-1063
- **Practice address phone:** (931) 729-1177
- **Mailing address:** 1797 HIGHWAY 100, CENTERVILLE, TN 37033-1063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | C1226 | TN | Yes |

## Other

- **Enumeration date:** 10/14/2015
- **Last updated:** 10/14/2015