Freds Pharmacy

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy is an health care organization with primary practice located at 260 Keen Street , Burkesville KY 42717. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Freds Stores Of Tennessee Inc can be contacted via phone (270) 864-1772, or through Knight, Alex via phone (901) 238-3625.

Contact Information

Primary practice address
260 Keen Street Burkesville KY 42717
Phone: (270) 864-1772
Fax: (270) 864-5981
Website:
Map and Directions
Authorized official contact:
Name: Knight, Alex
Phone: (901) 238-3625

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X P06773 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1346267804
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy
Authorized official Knight, Alex
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1346267804 NPPES
Other 1827356 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 54003546 OTHER ID NUMBER-COMMERCIAL NUMBER

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