Freds Pharmacy 3774

LBN: Freds Stores Of Tennessee Inc.
Freds Pharmacy 3774 is an health care organization with primary practice located at 21361 Whyte Hardee Blvd. , Hardeeville SC 29927. 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 (843) 784-6222, or through Chambers, Rick via phone (901) 238-2477.

Contact Information

Primary practice address
21361 Whyte Hardee Blvd. Hardeeville SC 29927
Phone: (843) 784-6222
Fax: (843) 784-6223
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Rick
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1255609871
LBN Legal business name Freds Stores Of Tennessee Inc.
DBA Doing business as Freds Pharmacy 3774
Authorized official Chambers, Rick
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 9th, 2011
Last updated Sep 11th, 2012 - about 13 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 1255609871 NPPES
South Carolina MEDICAID 713653

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