Organization
FREDS STORES OF TENNESSEE INC
Active
Other names
FREDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX KNIGHT (DIR OF THIRD PARTY OPERATIONS)
(901) 238-3625
Entity
Organization
Contact information
Practice address
511 18TH AVE N, COLUMBUS, MS 39705-2215
(662) 327-7349
(662) 327-7492
Mailing address
511 18TH AVE N, COLUMBUS, MS 39705-2215
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5941012
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07989206
—
MS
01
—
2521498
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
09/11/2025
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