Freds Pharmacy 2846

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 2846 is an health care organization with primary practice located at 290 S Washington St , Ripley TN 38063-1737. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Freds Stores Of Tennessee Inc can be contacted via phone (731) 635-1461, or through Chambers, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
290 S Washington St Ripley TN 38063-1737
Fax: (731) 635-5798
Website:
Authorized official contact:
Name: Chambers, Ricky PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X C1624 Tennessee
Suppliers / Pharmacy 333600000X C1624 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X C1624 Tennessee

Profile Details

NPI number 1285666123
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 2846
Authorized official Chambers, Ricky PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2006
Last updated Sep 18th, 2009 - about 15 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 1285666123 NPPES
Tennessee MEDICAID 3538379
Tennessee Other 4421602

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