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Freds Stores Of Tennessee Inc

Freds Stores Of Tennessee Inc is a health care provider in Memphis, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 901 W Dewitt Henry Dr, Beebe, AR 72012-2105, US
Practice Location Phone501-882-5402
Practice Location Fax501-882-0303
Legal Business NameFREDS STORES OF TENNESSEE INC
Other Organization NameFREDS PHARMACY 1086
Other Organization Name TypeDoing Business As Name
NPI ?1033141064
Entity TypeOrganization
Enumeration Date ? Jul 7, 2006
Last Update Date ? Aug 30, 2019
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Freds Stores Of Tennessee Inc

SpecialtySpecializationLicenseLicense State
Pharmacy 420232Arkansas
PharmacyCommunity/Retail Pharmacy 420232Arkansas

legacy-id-icon Legacy Provider IDs of Freds Stores Of Tennessee Inc

Provider IdIssuer StateIssuer TypeIssuer
0421088OtherOTHER ID NUMBER-COMMERCIAL NUMBER
140230407ArkansasMedicaid
156771716ArkansasOtherDME

official-icon Authorized Official of Freds Stores Of Tennessee Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Freds Stores Of Tennessee Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Joseph Anto
Authorized Official Title/PositionCEO
Authorized Official Phone Number901-362-3733