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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 5186 Highway 80, Morton, MS 39117-3605, US
Practice Location Phone601-732-8683
Practice Location Fax601-732-7213
Legal Business NameFREDS STORES OF TENNESSEE INC
Other Organization NameFREDS PHARMACY 2406
Other Organization Name TypeDoing Business As Name
NPI ?1225060262
Entity TypeOrganization
Enumeration Date ? Jul 7, 2006
Last Update Date ? Apr 30, 2012
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 30351FMMississippi
PharmacyCommunity/Retail Pharmacy 30351FMMississippi

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

Provider IdIssuer StateIssuer TypeIssuer
2518186OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0330167MississippiMedicaid

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 Ricky Chambers (PHARMD)
Authorized Official Title/PositionVP
Authorized Official Phone Number901-238-2477