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Organization

FREDS STORES OF TENNESSEE INC

Active
Parent organization
FREDS INC
Other names
FREDS PHARMACY 1876
Organization subpart
Yes

Provider details

NPI number
Legal business name
FREDS INC
Authorized official
RICKY CHAMBERS PHARMD (VP)
(901) 238-2477
Entity
Organization

Contact information

Practice address
3056 ALLISON BONNETT, HUEYTOWN, AL 35023
(205) 497-4464
(205) 491-1676
Mailing address
4300 NEW GETWELL RD, MEMPHIS, TN 38118-6801
(901) 238-2520
(901) 365-9820

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
112027
AL
3336C0003X
Community/Retail Pharmacy
Primary
112027
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0130916
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/07/2006
Last updated
01/11/2008
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