Freds Stores of Tennessee INC
NPI #1114943784 in Itta Bena, Mississippi
Provider Information
- NPI Number
- 1114943784
- Entity Type
- Organization
- Organization Name
- Freds Stores of Tennessee INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FREDS INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Dec 4, 2007
Practice Location
- Address
- 118 HUMPHREYS ST
- City
- Itta Bena
- State
- Mississippi
- ZIP Code
- 38941-2004
- Phone
- (662) 254-6241
Authorized Official
- Name
- RICKY CHAMBERS, PHARMD
- Title
- VP
- Phone
- (901) 238-2477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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