Organization
FREDS STORES OF TENNESSEE INC
Active
Parent organization
FREDS INC
Other names
FREDS PHARMACY 1584
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDS INC
Authorized official
MR. RICKY CHAMBERS (VP)
(901) 238-2477
Entity
Organization
Contact information
Practice address
1265 MERCHANTS DRIVE, DALLAS, GA 30132
(770) 505-0144
Mailing address
4300 NEW GETWELL RD, MEMPHIS, TN 38118-6801
(901) 238-2520
(901) 365-9820
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009094
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154715
NCPDP
—
Enumeration date
12/06/2006
Last updated
01/11/2008
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