Freds Pharmacy 1584
LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 1584 is an health care organization with primary practice located at 1265 Merchants Drive , Dallas GA 30132. 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 (770) 505-0144, or through Chambers, Ricky via phone (901) 238-2477.
Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009094 | Georgia |
Profile Details
NPI number | 1720147846 |
---|---|
LBN Legal business name | Freds Stores Of Tennessee Inc |
DBA Doing business as | Freds Pharmacy 1584 |
Authorized official | Chambers, Ricky |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Dec 6th, 2006 |
Last updated | Jan 11th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720147846 | NPPES |
Other | 1154715 | NCPDP |
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