Freds Pharmacy

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy is an health care organization with primary practice located at 2040 E Shiloh Rd , Corinth MS 38834-3727. 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 (662) 287-6355, or through Knight, Alex via phone (901) 238-3625.

Contact Information

Primary practice address
2040 E Shiloh Rd Corinth MS 38834-3727
Phone: (662) 287-6355
Fax: (662) 287-0347
Website:
Map and Directions
Authorized official contact:
Name: Knight, Alex
Phone: (901) 238-3625

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1929PFC Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609808641
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 7th, 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 1609808641 NPPES
Mississippi MEDICAID 07381512
Mississippi Other 2514645

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