Whalio Doctors

NPI 1003848045

Freds Stores of Tennessee INC

Organisation Community/Retail Pharmacy Marion, IL

Practice location

Address
905 West Main Street, Marion, IL 62959-1998
Phone
(618) 998-1269
Mailing address
4300 New Getwell Rd, Memphis, TN 38118-6801

Authorised official

Name
Ricky Chambers
Title
Vp
Phone
(901) 238-2477

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 54015486 (IL)
Pharmacy
Suppliers Taxonomy 333600000X Licence 54015486 (IL)

Registry record

NPI
1003848045
Entity type
Organization
NPI issued
7 Jul 2006
Record last updated
5 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.