Organization
FREDS STORES OF TENNESSEE INC.
Active
Parent organization
FREDS INC
Other names
Freds Pharmacy #3748
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDS INC
Authorized official
RICK CHAMBERS PHARMD (VICE PRESIDENT)
(901) 238-2477
Entity
Organization
Contact information
Practice address
306 LAMAR ST, KILMICHAEL, MS 39747-9732
(662) 229-7874
Mailing address
4300 NEW GETWELL RD, MEMPHIS, TN 38118-6801
(901) 238-2520
(901) 365-9820
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
09313
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06801260
—
MS
Enumeration date
09/15/2011
Last updated
09/11/2012
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