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FREDS PHARMACY OF QUITMAN NPI 1215957428


NPI Information

NPI: 1215957428
Provider Name: FREDS PHARMACY OF QUITMAN

Doing Business As: FRED'S PHARMACY 7601

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1098 MARTIN LUTHER KING DR
MARKS, MS
ZIP 38646
Phone: (662) 326-9272
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FREDS PHARMACY OF QUITMAN is a community/retail pharmacy pharmacy in Marks, MS. The provider is 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. FREDS PHARMACY OF QUITMAN NPI is 1215957428. The provider is registered as an organization entity type.
The provider Is Doing Business As Fred's Pharmacy 7601.

The provider's business location address is:

1098 MARTIN LUTHER KING DR
MARKS, MS
ZIP 38646-825
Phone: (662) 326-9272
Fax: (662) 326-5268

The provider's authorized official is Ricky Chambers .
The authorized official title is Vp and has the following contact phone number (901) 238-2477.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies06997011MISSISSIPPINo
23336C0003XPharmacyCommunity/Retail Pharmacy06997011MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12586569OTHERNCPDP
203407032MEDICAIDMISSISSIPPI
31255890002MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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