| NPI | 1538313556 |
|---|---|
| Doing Business As | FREDS PHARMACY 3658 |
| Entity Type | Organization |
| Authorized Contact | RICKY CHAMBERS VP 901-238-2477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 02410/01.1) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 02410/01.1) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2009-03-16 |