Freds Pharmacy 1856

LBN: Freds Stores Of Tennessee Inc
Freds Pharmacy 1856 is an health care organization with primary practice located at 3129 Canton Pike Indian Hills S/C , Hopkinsville KY 42240. 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 (270) 886-6345, or through Chambers, Ricky via phone (901) 238-2477.

Contact Information

Primary practice address
3129 Canton Pike Indian Hills S/C Hopkinsville KY 42240
Phone: (270) 886-6345
Fax: (270) 885-1674
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Ricky PHARMD
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X P06326 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X P06326 Kentucky

Profile Details

NPI number 1821020868
LBN Legal business name Freds Stores Of Tennessee Inc
DBA Doing business as Freds Pharmacy 1856
Authorized official Chambers, Ricky PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2006
Last updated Nov 27th, 2007 - about 19 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 1821020868 NPPES
Other 1824843 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 54033121 OTHER ID NUMBER-COMMERCIAL NUMBER

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