| NPI | 1003848946 |
|---|---|
| Doing Business As | FREDS PHARMACY 1204 |
| Entity Type | Organization |
| Authorized Contact | RICKY CHAMBERS VP 901-238-2477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50007912) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SC 50007912) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-01-11 |