Freds Pharmacy 1199

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 1199 is an health care organization with primary practice located at 214 Ga Highway 49 S , Byron GA 31008-6937. 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 (478) 956-0478, or through Chambers, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
214 Ga Highway 49 S Byron GA 31008-6937
Phone: (478) 956-0478
Fax: (478) 956-0281
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Ricky PHARMD
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHRE009661 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X Georgia

Profile Details

NPI number 1922325281
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 1199
Authorized official Chambers, Ricky PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 27th, 2010
Last updated Aug 9th, 2011 - about 13 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 1922325281 NPPES
Georgia MEDICAID 003101336A

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