Organization
FREDS SUPERMARKET AND PHARMACY OF THREE RIVERS INC
Active
Other names
Freds Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEROYL MARIE KIRBY RPN (MANAGER STOCKHOLDER)
(269) 278-2355
Entity
Organization
Contact information
Practice address
808 W MICHIGAN AVE, FREDS PHARMACY, THREE RIVERS, MI 49093-3103
(269) 278-2355
(269) 279-9180
Mailing address
808 W MICHIGAN AVE, FREDS PHARMACY, THREE RIVERS, MI 49093-3103
(269) 278-2355
(269) 279-9180
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301001817
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2333780
NABP
—
05
—
2542203
—
MI
Enumeration date
01/03/2006
Last updated
02/01/2016
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