Organization
FREDS STORES OF TENNESSEE INC
Active
Parent organization
FREDS INC.
Other names
Freds Pharmacy #3604
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
1068 HIGHWAY 61 N., TUNICA, MS 38676
(662) 363-1540
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
—
05638737
—
MS
Enumeration date
10/21/2014
Last updated
12/05/2019
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