Freds Stores of Tennessee INC

NPI #1386676328 in Benton, Illinois

Provider Information

NPI Number
1386676328
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 7, 2006
Last Updated
Nov 5, 2012

Practice Location

Address
215 BAILEY LN
City
Benton
ZIP Code
62812-1921
Phone
(618) 435-4894

Authorized Official

Name
RICKY CHAMBERS, PHARMD
Title
VP
Phone
(901) 238-2477

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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