Freds Stores Of Tennessee INC
Pharmacy, Community/Retail Pharmacy in Lewisburg, TN. Organization (NPI-2).
NPI number1669498234
StatusActive
Last updated in NPPESSep 18, 2009
Details
- NPI
- 1669498234
- Entity type
- Organization (NPI-2)
- Legal business name
- Freds Stores Of Tennessee INC
- Organization subpart
- Yes
- Enumeration date
- Jul 15, 2006
- Last updated
- Sep 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | C2379 | TN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | C2379 | TN |
Other names
- Freds Pharmacy 2226 (Doing Business As)
Practice location
1800 Mooresville HwyLewisburg, TN 37091-2010
Phone 931-270-6775 · Fax 931-359-0109
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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