Freds Stores of Tennessee INC

NPI #1710383690 in Idabel, Oklahoma

Provider Information

NPI Number
1710383690
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
Nov 5, 2014
Last Updated
Dec 6, 2019

Practice Location

Address
810 SE WASHINGTON ST
City
Idabel
ZIP Code
74745-3442
Phone
(580) 208-2400

Authorized Official

Name
RAHUL KULKARNI
Title
SVP OF FINANCE
Phone
(800) 374-7417

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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