Freds Pharmacy 1054

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 1054 is an health care organization with primary practice located at 4111 Martha Berry Hwy Nw , Rome GA 30165-7705. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Freds Stores Of Tennessee Inc can be contacted via phone (706) 378-8073, or through Chambers, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
4111 Martha Berry Hwy Nw Rome GA 30165-7705
Phone: (706) 378-8073
Fax: (706) 378-8076
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Ricky PHARMD
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHR009104 Georgia

Profile Details

NPI number 1194887372
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 1054
Authorized official Chambers, Ricky PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jan 11th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194887372 NPPES
Other 1154905 NCPDP

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