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FREDS STORES OF TENNESSEE INC NPI 1720010754


NPI Information

NPI: 1720010754
Provider Name: FREDS STORES OF TENNESSEE INC

Doing Business As: FREDS PHARMACY 1254

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
80 RIVER RUN RD
CHILDERSBURG, AL
ZIP 35044
Phone: (256) 378-5026
Get Directions

FREDS STORES OF TENNESSEE INC is a community/retail pharmacy pharmacy in Childersburg, AL. 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 STORES OF TENNESSEE INC NPI is 1720010754. The provider is registered as an organization entity type.
The provider Is Doing Business As Freds Pharmacy 1254.

The provider's business location address is:

80 RIVER RUN RD
CHILDERSBURG, AL
ZIP 35044-208
Phone: (256) 378-5026
Fax: (256) 378-7195

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 7/7/2006 and was last updated on 1/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy112330ALABAMANo
23336C0003XPharmacyCommunity/Retail Pharmacy112330ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10537670235MEDICARE NSC
20131932OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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: 4/28/2024

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