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.

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Contact Information

FREDS STORES OF TENNESSEE INC

25 MAIN STREET
BROOKSVILLE, MS 39739

Phone: 662-738-5878
Fax: 662-738-4888
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for FREDS STORES OF TENNESSEE INC

NPI Number 1104843671

LBN Legal business name FREDS STORES OF TENNESSEE INC

Authorized official RICKY CHAMBERS - (VP)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/17/2006

Last updated 12/04/2007 - About 19 years ago

Identifiers

MS	License #	5847012
MS	Medicaid	6301716
	Other	2521359	OTHER ID NUMBER-COMMERCIAL NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FREDS STORES OF TENNESSEE INC

Contact Information

Specialty

Community/Retail Pharmacy

Pharmacy

NPI Profile & details for FREDS STORES OF TENNESSEE INC

Reviews for FREDS STORES OF TENNESSEE INC