Freds Pharmacy 7681
LBN: Freds Pharmacy Of Quitman Llc
Freds Pharmacy 7681 is an health care organization with primary practice located at 626 22Nd Ave S , Meridian MS 39301-6120. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Freds Pharmacy Of Quitman Llc can be contacted via phone (601) 701-0019, or through Chambers, Ricky via phone (901) 238-2477.
Contact Information
Primary practice address
626 22Nd Ave S
Meridian MS 39301-6120
Phone: (601) 701-0019
Fax: (601) 693-2693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 07342 | Mississippi |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 07342 | Mississippi |
Profile Details
| NPI number | 1528287042 |
|---|---|
| LBN Legal business name | Freds Pharmacy Of Quitman Llc |
| DBA Doing business as | Freds Pharmacy 7681 |
| Authorized official | Chambers, Ricky PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Sep 18th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528287042 | NPPES |
| Mississippi | MEDICAID | 00701261 | |
| Mississippi | Other | 2586812 |
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