Freds Pharmacy 1881

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 1881 is an health care organization with primary practice located at 2 Forest Park Dr , Holiday Island AR 72631-9229. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Freds Stores Of Tennessee Inc can be contacted via phone (479) 253-7062, or through Kulkarni, Rahul via phone (800) 374-7417.

Contact Information

Primary practice address
2 Forest Park Dr Holiday Island AR 72631-9229
Phone: (479) 253-7062
Fax: (479) 253-7509
Website:
Map and Directions
Authorized official contact:
Name: Kulkarni, Rahul
Phone: (800) 374-7417

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 419526 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X 419526 Arkansas

Profile Details

NPI number 1316979347
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 1881
Authorized official Kulkarni, Rahul
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2006
Last updated Dec 6th, 2019 - about 7 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 1316979347 NPPES
Arkansas Other 179664716 DME
Arkansas Other 0419526 DME
Arkansas MEDICAID 1316979347 DME
Arkansas MEDICAID 130603407 DME

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