NPI | 1326070350 |
---|---|
Doing Business As | FREDS PHARMACY 2881 |
Entity Type | Organization |
Authorized Contact | RICKY CHAMBERS VP 901-238-2477 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 3973) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 3973) |
333600000X Pharmacy (Licence: TN 3973) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2009-09-18 |