Organization
FREDS STORES OF TENNESSEE INC.
Active
Parent organization
FREDS INC
Other names
Big D's Discount Drug 3990
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDS INC
Authorized official
RICK CHAMBERS (VICE PRESIDENT)
(901) 238-2477
Entity
Organization
Contact information
Practice address
38 OAK ST, JACKSON, GA 30233-1941
(770) 775-7650
(770) 775-2715
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003139750A
—
GA
Enumeration date
07/29/2013
Last updated
04/15/2014
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