Freds Pharmacy 1028
LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 1028 is an health care organization with primary practice located at 763 Highway 28 Byp , Abbeville SC 29620-5595. 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 Stores Of Tennessee Inc can be contacted via phone (864) 366-1124, or through Chambers, Ricky via phone (901) 238-2477.
Contact Information
Primary practice address
763 Highway 28 Byp
Abbeville SC 29620-5595
Phone: (864) 366-1124
Fax: (864) 366-1127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1285966986 |
|---|---|
| LBN Legal business name | Freds Stores Of Tennessee Inc |
| DBA Doing business as | Freds Pharmacy 1028 |
| Authorized official | Chambers, Ricky PHARMD |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 4th, 2010 |
| Last updated | Aug 9th, 2011 - about 14 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 | 1285966986 | NPPES |
| South Carolina | Other | DE3389 | MEDICAID DME |
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