Organization
FREDS STORES OF TENNESSEE INC
Active
Parent organization
FREDS INC
Other names
FREDS XPRESS 3516
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDS INC
Authorized official
RICKY CHAMBERS PHARMD (VP)
(901) 238-2477
Entity
Organization
Contact information
Practice address
25 MAIN STREET, BROOKESVILLE, MS 39739
(662) 738-5878
(662) 738-4888
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
5847012
MS
3336C0003X
Community/Retail Pharmacy
Primary
5847012
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2521359
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6301716
—
MS
Enumeration date
07/17/2006
Last updated
12/04/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us