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Organization

FREDS STORES OF TENNESSEE INC.

Active
Parent organization
FREDS INC.
Other names
Freds Pharmacy 3726
Organization subpart
Yes

Provider details

NPI number
Legal business name
FREDS INC.
Authorized official
RAHUL KULKARNI (SVP OF FINANCE)
(800) 374-7417
Entity
Organization

Contact information

Practice address
211 SOUTH MAIN STREET, MORGANTOWN, KY 42261
(270) 526-3332
(270) 526-3996
Mailing address
6625 LENOX PARK BLVD., SUITE 200, MEMPHIS, TN 38115
(901) 238-2520
(901) 365-9820

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100315950
KY
Enumeration date
08/13/2014
Last updated
12/05/2019
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