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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