NPI | 1669498234 |
---|---|
Doing Business As | FREDS PHARMACY 2226 |
Entity Type | Organization |
Authorized Contact | RICKY CHAMBERS VP 901-238-2477 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN C2379) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN C2379) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2009-09-18 |