Whalio Doctors

NPI 1427080464

Freds Stores of Tennessee INC

Organisation Community/Retail Pharmacy Cleveland, MS

Practice location

Address
306 E Sunflower Rd, Cleveland, MS 38732-2732
Phone
(662) 843-9800
Fax
(662) 843-9861
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 2115PFC (MS)
Pharmacy
Suppliers Taxonomy 333600000X Licence 2115PFC (MS)

Registry record

NPI
1427080464
Entity type
Organization
NPI issued
7 Jul 2006
Record last updated
29 Nov 2007

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.