Freds Pharmacy 2171

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 2171 is an health care organization with primary practice located at 2021 W Airline Hwy , La Place LA 70068-3031. 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 (504) 652-0174, or through Chambers, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
2021 W Airline Hwy La Place LA 70068-3031
Fax: (985) 652-0637
Website:
Authorized official contact:
Name: Chambers, Ricky PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 4145RC Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X 4145RC Louisiana

Profile Details

NPI number 1801828843
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 2171
Authorized official Chambers, Ricky PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jan 11th, 2008 - about 17 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 1801828843 NPPES
Louisiana MEDICAID 1266728
Louisiana Other 1928639

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