Organization
FREDS PHARMACY 1736
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK CHAMBERS PHARM D (SR.VP PHARMACY)
18003747417
Entity
Organization
Contact information
Practice address
813 W PARK AVE, GREENWOOD, MS 38930-2824
(662) 455-3529
(662) 455-2142
Mailing address
813 W PARK AVE, GREENWOOD, MS 38930-2824
(662) 455-3529
(662) 455-2142
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
E6524
MS
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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