Freds Pharmacy 1944

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 1944 is an health care organization with primary practice located at 7271 Wall Triana Hwy , Madison AL 35757. 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 (256) 837-5522, or through Chamberse, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
7271 Wall Triana Hwy Madison AL 35757
Phone: (256) 837-5522
Fax: (256) 837-6716
Website:
Map and Directions
Authorized official contact:
Name: Chamberse, Ricky PHARMD
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 113228 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X 113228 Alabama

Profile Details

NPI number 1649415902
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 1944
Authorized official Chamberse, Ricky PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 15th, 2008
Last updated Aug 10th, 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 1649415902 NPPES
Other 0135803 NCPDP
MEDICAID 108365 NCPDP

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