Organization
FREDS OF PARSONS INC
Active
Organization
FREDS OF PARSONS INC
Active
Other names
FREDS PHARMACY 7781
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY CHAMBERS PHARMD (VP)
(901) 238-2477
Entity
Organization
Contact information
Practice address
501 TENNESSEE AVE N, PARSONS, TN 38363-2616
(731) 847-3851
(731) 847-2216
Mailing address
501 TENNESSEE AVE N, PARSONS, TN 38363-2616
(731) 847-3851
(731) 847-2216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
C2974
TN
3336C0003X
Community/Retail Pharmacy
Primary
C2974
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4428896
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
05/31/2013
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