National Provider Identifier Database

FREDS STORES OF TENNESSEE INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

FREDS STORES OF TENNESSEE INC
25 MAIN STREET
BROOKSVILLE, MS39739
Phone: 662-738-5878
Fax: 662-738-4888
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for FREDS STORES OF TENNESSEE INC

NPI Number 1104843671
Legal business name
LBN
FREDS STORES OF TENNESSEE INC
Authorized official RICKY CHAMBERS - (VP)
Entity Organization
Organization subpart Yes
Enumeration date 07/17/2006
Last updated 12/04/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 5847012
  • MS Medicaid: 6301716
  • Other: 2521359 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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