Organization
FREDS PHARMACY OF QUITMAN
Active
Parent organization
FREDS PHARMACY OF QUITMAN LLC
Other names
Freds Pharmacy 7141
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDS PHARMACY OF QUITMAN LLC
Authorized official
RICK CHAMBERS (VICE PRESIDENT)
(901) 238-2477
Entity
Organization
Contact information
Practice address
304 W MAIN ST, CHARLESTON, MS 38921-2231
(662) 647-5541
Mailing address
PO BOX 5105, MERIDIAN, MS 39302-5105
(601) 693-2655
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4485702
—
MS
Enumeration date
08/27/2014
Last updated
01/05/2015
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