Organization
FREDS STORES OF TENNESSEE INC
Active
Parent organization
FREDS INC
Other names
Freds Pharmacy 1944
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDS INC
Authorized official
RICKY CHAMBERSE PHARMD (VP)
(901) 238-2477
Entity
Organization
Contact information
Practice address
7271 WALL TRIANA HWY, MADISON, AL 35757
(256) 837-5522
(256) 837-6716
Mailing address
4300 NEW GETWELL RD, MEMPHIS, TN 38118-6801
(901) 238-2520
(901) 365-9820
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
113228
AL
3336C0003X
Community/Retail Pharmacy
Primary
113228
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135803
NCPDP
—
05
—
108365
—
AL
Enumeration date
12/15/2008
Last updated
08/10/2009
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