Freds Pharmacy 1254

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 1254 is an health care organization with primary practice located at 80 River Run Rd , Childersburg AL 35044-1208. 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 (256) 378-5026, or through Chambers, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
80 River Run Rd Childersburg AL 35044-1208
Phone: (256) 378-5026
Fax: (256) 378-7195
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Ricky PHARMD
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 112330 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X 112330 Alabama

Profile Details

NPI number 1720010754
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 1254
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 1720010754 NPPES
Other 0131932 OTHER ID NUMBER-COMMERCIAL NUMBER

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