Organization
FREDS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE EASTERLING (DISTRICT MANAGER)
(901) 355-4467
Entity
Organization
Contact information
Practice address
225 MEADOWBROOK RD, JACKSON, MS 39206-5252
(601) 362-9792
Mailing address
225 MEADOWBROOK RD, JACKSON, MS 39206-5252
(601) 362-9792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-5370
MS
Other
Enumeration date
08/22/2015
Last updated
08/22/2015
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