Freds Pharmacy 3774
LBN: Freds Stores Of Tennessee Inc.
Freds Pharmacy 3774 is an health care organization with primary practice located at 21361 Whyte Hardee Blvd. , Hardeeville SC 29927. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Freds Stores Of Tennessee Inc. can be contacted via phone (843) 784-6222, or through Chambers, Rick via phone (901) 238-2477.
Contact Information
Primary practice address
21361 Whyte Hardee Blvd.
Hardeeville SC 29927
Phone: (843) 784-6222
Fax: (843) 784-6223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1255609871 |
|---|---|
| LBN Legal business name | Freds Stores Of Tennessee Inc. |
| DBA Doing business as | Freds Pharmacy 3774 |
| Authorized official | Chambers, Rick |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 9th, 2011 |
| Last updated | Sep 11th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255609871 | NPPES |
| South Carolina | MEDICAID | 713653 |
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