Organization
FREDS STORES OF TENNESSEE INC
Active
Parent organization
FREDS INC
Other names
FREDS PHARMACY 1054
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
4111 MARTHA BERRY HWY NW, ROME, GA 30165-7705
(706) 378-8073
(706) 378-8076
Mailing address
4300 NEW GETWELL RD, MEMPHIS, TN 38118-6801
(901) 238-2520
(901) 365-9820
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHR009104
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154905
NCPDP
—
Enumeration date
12/14/2006
Last updated
01/11/2008
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