Freds Stores Of Tennessee INC
Pharmacy, Community/Retail Pharmacy in Brookesville, MS. Organization (NPI-2).
NPI number1104843671
StatusActive
Last updated in NPPESDec 4, 2007
Details
- NPI
- 1104843671
- Entity type
- Organization (NPI-2)
- Legal business name
- Freds Stores Of Tennessee INC
- Organization subpart
- Yes
- Enumeration date
- Jul 17, 2006
- Last updated
- Dec 4, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5847012 | MS | Yes |
| 333600000X | Pharmacy | 5847012 | MS |
Other names
- Freds Xpress 3516 (Doing Business As)
Practice location
25 Main StreetBrookesville, MS 39739
Phone 662-738-5878 · Fax 662-738-4888
Mailing address
4300 New Getwell RdMemphis, TN 38118-6801
Phone 901-238-2520 · Fax 901-365-9820
Authorized official
Ricky Chambers
Vp
9012382477
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.