| NPI | 1346574852 |
|---|---|
| Doing Business As | FREDS PHARMACY 3808 |
| Entity Type | Organization |
| Authorized Contact | RICKY CHAMBERS VP 901-238-2477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |