Organization
FREDS STORES OF TENNESSEE INC
Active
Parent organization
FREDS INC
Other names
Freds Xpress 3888
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDS INC
Authorized official
RICK CHAMBERS (VICE PRESIDENT)
(901) 238-2477
Entity
Organization
Contact information
Practice address
2173 S LAMAR BLVD, OXFORD, MS 38655-5223
(662) 234-3610
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05459249
—
MS
Enumeration date
04/10/2012
Last updated
09/11/2012
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