Freds Pharmacy 3514

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 3514 is an health care organization with primary practice located at 219 State St , Mccomb MS 39648-3938. 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 (601) 684-2621, or through Chambers, Rick via phone (901) 238-2477.

Contact Information

Primary practice address
219 State St Mccomb MS 39648-3938
Phone: (601) 684-2621
Fax:
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 1386990059
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 3514
Authorized official Chambers, Rick
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2012
Last updated Jan 7th, 2013 - about 11 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 1386990059 NPPES
Mississippi MEDICAID 01373264

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