| NPI | 1639107618 |
|---|---|
| Doing Business As | FREDS PHARMACY 1201 |
| Entity Type | Organization |
| Authorized Contact | RICKY CHAMBERS VP 901-238-2477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR 417255) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AR 417255) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-01-04 |