Organization
FRED'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MICHELLE KING PHARMD (PHARMACIST)
(731) 989-9933
Entity
Organization
Contact information
Practice address
535 W MAIN ST, HENDERSON, TN 38340-2536
(731) 989-9933
(731) 989-9934
Mailing address
535 W MAIN ST, HENDERSON, TN 38340-2536
(731) 989-9933
(731) 989-9934
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
000036760
TN
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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