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

6 EAST SECOND AVENUE
GLENWOOD, GA 30428

Phone: 912-523-5094
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for FREDS STORES OF TENNESSEE INC

NPI # 1679850416

LBN Legal business name FREDS STORES OF TENNESSEE INC

Authorized official RICK CHAMBERS - (VICE PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/08/2011

Last updated 04/06/2015 - About 11 years ago

Identifiers

Medicaid

003121718A

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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