Freds Pharmacy 3966

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 3966 is an health care organization with primary practice located at 810 Se Washington St , Idabel OK 74745-3442. 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 (580) 208-2400, or through Kulkarni, Rahul via phone (800) 374-7417.

Contact Information

Primary practice address
810 Se Washington St Idabel OK 74745-3442
Phone: (580) 208-2400
Fax: (580) 208-2401
Website:
Map and Directions
Authorized official contact:
Name: Kulkarni, Rahul
Phone: (800) 374-7417

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1710383690
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 3966
Authorized official Kulkarni, Rahul
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 5th, 2014
Last updated Dec 6th, 2019 - about 5 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 1710383690 NPPES
Oklahoma MEDICAID 200568060A

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