Freds Stores of Tennessee INC

NPI #1639107618 in Benton, Arkansas

Provider Information

NPI Number
1639107618
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
Jun 29, 2006
Last Updated
Jan 4, 2010

Practice Location

Address
1212 MILITARY RD
City
Benton
ZIP Code
72015-2908
Phone
(501) 778-2036

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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