Freds Pharmacy of Quitman LLC
NPI #1306102470 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1306102470
- Entity Type
- Organization
- Organization Name
- Freds Pharmacy of Quitman LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FREDS PHARMACY OF QUITMAN LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 3, 2012
- Last Updated
- Sep 18, 2012
Practice Location
- Address
- 1123 WASHINGTON ST
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-2959
- Phone
- (601) 636-2756
Authorized Official
- Name
- RICK CHAMBERS
- Title
- VICE PRESIDENT
- Phone
- (901) 238-2477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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