Organization
FRED'S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HUDAK (HEALTH CARE MANAGER)
(800) 374-7417
Entity
Organization
Contact information
Practice address
6216 HIGHWAY 10, GREENSBURG, LA 70441
(225) 222-6125
(225) 222-6197
Mailing address
PO BOX 70, GREENSBURG, LA 70441-0070
(225) 222-6125
(225) 222-6197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016776
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1936472
—
LA
Enumeration date
10/06/2015
Last updated
10/06/2015
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