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Contact Information

FREDS STORES OF TENNESSEE INC
260 KEEN STREET
BURKESVILLE, KY42717
 Phone: 270-864-1772
 Fax: 270-864-5981
 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

NPI Profile & details for FREDS STORES OF TENNESSEE INC

NPI Number 1346267804
LBN Legal business name FREDS STORES OF TENNESSEE INC
Authorized official ALEX KNIGHT - (DIR OF THIRD PARTY OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
KY License # P06773
KY Medicaid 54003546
Other 1827356 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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