Freds Pharmacy 2363

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 2363 is an health care organization with primary practice located at 2279 Louisville Ave , Monroe LA 71201-6124. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Freds Stores Of Tennessee Inc can be contacted via phone (318) 325-4380, or through Chambers, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
2279 Louisville Ave Monroe LA 71201-6124
Phone: (318) 325-4380
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Ricky PHARMD
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5990 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X 5990 Louisiana

Profile Details

NPI number 1285803221
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 2363
Authorized official Chambers, Ricky PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 25th, 2008
Last updated Mar 16th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285803221 NPPES
Louisiana MEDICAID 1227960
Louisiana Other 1933793

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