| NPI | 1730310988 |
|---|---|
| Doing Business As | FREDS PHARMACY 1959 |
| Entity Type | Organization |
| Authorized Contact | RICKY CHAMBERS VP 901-238-2477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2014-05-08 |