Organization · NPI-2
Freds Stores Of Tennessee INC
Pharmacy, Community/Retail Pharmacy · Greenville, MS
NPI number1093969016
StatusActive
Last updated in NPPESMar 16, 2009
Details
- NPI
- 1093969016
- Entity type
- Organization (NPI-2)
- Legal business name
- Freds Stores Of Tennessee INC
- Organization subpart
- Yes
- Enumeration date
- Nov 5, 2008
- Last updated
- Mar 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 03676/01.2 | MS | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 03676/01.2 | MS |
Other names
- Freds Pharmacy 3648 (Doing Business As)
Practice location
1221 E Union StGreenville, MS 38703-3243
Phone 662-332-3600
Mailing address
4300 New Getwell RdMemphis, TN 38118-6801
Phone 901-238-2520 · Fax 901-365-9820
Authorized official
Ricky Chambers
Vp
9012382477
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