Freds Pharmacy 1389

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 1389 is an health care organization with primary practice located at 85 Kidspeace Dr , Bowdon GA 30108-3449. 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 (770) 258-0158, or through Chambers, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
85 Kidspeace Dr Bowdon GA 30108-3449
Phone: (770) 258-0158
Fax: (770) 258-0156
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Ricky PHARMD
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE008991 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008991 Georgia

Profile Details

NPI number 1740212786
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 1389
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 1740212786 NPPES
Other 1153725 OTHER ID NUMBER-COMMERCIAL NUMBER

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