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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 1200 W Church St, Alamo, TN 38001, US
Practice Location Phone731-696-2866
Practice Location Fax731-696-2204
Legal Business NameFREDS STORES OF TENNESSEE INC
Other Organization NameFREDS PHARMACY 1504
Other Organization Name TypeDoing Business As Name
NPI ?1467649624
Entity TypeOrganization
Enumeration Date ? Oct 1, 2007
Last Update Date ? Sep 8, 2008
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
Durable Medical Equipment & Medical Supplies 1231Tennessee
PharmacyCommunity/Retail Pharmacy 1231Tennessee

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

Provider IdIssuer StateIssuer TypeIssuer
4440739OtherNCPDP
0537670329Medicare Nsc
3538371TennesseeMedicare Pin

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