Freds Stores Of Tennessee INC
Pharmacy, Community/Retail Pharmacy in Russellville, AL. Organization (NPI-2).
NPI number1366474397
StatusActive
Last updated in NPPESJan 11, 2008
Details
- NPI
- 1366474397
- Entity type
- Organization (NPI-2)
- Legal business name
- Freds Stores Of Tennessee INC
- Organization subpart
- Yes
- Enumeration date
- Jul 7, 2006
- Last updated
- Jan 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 112575 | AL | Yes |
| 333600000X | Pharmacy | 112575 | AL |
Other names
- Freds Pharmacy 2791 (Doing Business As)
Practice location
13150 Highway 43Russellville, AL 35653-4558
Phone 256-331-5031 · Fax 256-331-9390
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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All 10 Community/Retail Pharmacy providers in Russellville · All 256 providers in Russellville
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