Organization
FRED'S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BAIRD (PHARMACY MANAGER)
(931) 729-1177
Entity
Organization
Contact information
Practice address
1797 HIGHWAY 100, CENTERVILLE, TN 37033-1063
(931) 729-1177
Mailing address
1797 HIGHWAY 100, CENTERVILLE, TN 37033-1063
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
C1226
TN
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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