Organization
FREDS STORES OF TENNESSEE INC
Active
Other names
FREDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX KNIGHT (DIR OF THIRD PARTY OPERATIONS)
(901) 238-3625
Entity
Organization
Contact information
Practice address
2040 E SHILOH RD, CORINTH, MS 38834-3727
(662) 287-6355
(662) 287-0347
Mailing address
2040 E SHILOH RD, CORINTH, MS 38834-3727
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1929PFC
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07381512
—
MS
01
—
2514645
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
09/11/2025
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