Freds Stores of Tennessee Inc.

NPI #1447665807 in Coushatta, Louisiana

Provider Information

NPI Number
1447665807
Entity Type
Organization
Organization Name
Freds Stores of Tennessee Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
FRED'S INC.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 24, 2014
Last Updated
Dec 11, 2014

Practice Location

Address
1603 RINGGOLD AVE
ZIP Code
71019-9084
Phone
(318) 932-5194

Authorized Official

Name
RICK CHAMBERS
Title
VICE PRESIDENT
Phone
(901) 238-2477

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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