NPI | 1528287042 |
---|---|
Doing Business As | FREDS PHARMACY 7681 |
Entity Type | Organization |
Authorized Contact | RICKY CHAMBERS VP 901-238-2477 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 07342) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 07342) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2012-09-18 |