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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 441 N Fourth St, Baldwyn, MS 38824-1525, US
Practice Location Phone662-365-8877
Practice Location Fax662-365-8777
Legal Business NameFREDS STORES OF TENNESSEE INC
Other Organization NameFREDS PHARMACY 1589
Other Organization Name TypeDoing Business As Name
NPI ?1750542635
Entity TypeOrganization
Enumeration Date ? Jun 23, 2008
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 07797/01.2Mississippi
PharmacyCommunity/Retail Pharmacy 07797/01.2Mississippi

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

Provider IdIssuer StateIssuer TypeIssuer
2587256OtherNCPDP
08572292MississippiMedicaid

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 Number901-238-3625