Freds Pharmacy 2284

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 2284 is an health care organization with primary practice located at 1208 Homer Rd , Minden LA 71055-3082. 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 (318) 371-1292, or through Chambers, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
1208 Homer Rd Minden LA 71055-3082
Phone: (318) 371-1292
Fax: (318) 371-1612
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Ricky PHARMD
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5456 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X 5456 Louisiana

Profile Details

NPI number 1356373393
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 2284
Authorized official Chambers, Ricky PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jan 11th, 2008 - about 18 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 1356373393 NPPES
Louisiana MEDICAID 1272043
Louisiana Other 1932020

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