Organization
FREDS STORES OF TENNESSEE INC
Active
Parent organization
FREDS INC
Other names
Freds Pharmacy 3514
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
219 STATE ST, MCCOMB, MS 39648-3938
(601) 684-2621
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
—
01373264
—
MS
Enumeration date
07/31/2012
Last updated
01/07/2013
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