| NPI | 1285803221 |
|---|---|
| Doing Business As | FREDS PHARMACY 2363 |
| Entity Type | Organization |
| Authorized Contact | RICKY CHAMBERS VP 901-238-2477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 5990) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 5990) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2009-03-16 |