Freds Pharmacy 1584

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 1584 is an health care organization with primary practice located at 1265 Merchants Drive , Dallas GA 30132. 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 (770) 505-0144, or through Chambers, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
1265 Merchants Drive Dallas GA 30132
Phone: (770) 505-0144
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Ricky
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009094 Georgia

Profile Details

NPI number 1720147846
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 1584
Authorized official Chambers, Ricky
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 6th, 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 1720147846 NPPES
Other 1154715 NCPDP

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