Fred'S Stores of Tennessee Inc
Organization Active NPI Community/Retail Pharmacy · Mabelvale, AR
NPI 1306368352 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1306368352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FRED'S STORES OF TENNESSEE INC
- Practice address
- 13907 High Rd
Mabelvale, AR 72103-3212 - Phone
- (501) 455-1086
- Fax
- (501) 455-4780
- NPI assigned
- Jul 12, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- FRED'S INC.
Authorized official
- Name
- Joyce Robertson
- Title
- RX Lic. & Permitting Specialist
- Phone
- (901) 238-2520
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Freds Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
13907 High Rd
Mabelvale, AR 72103-3212
Mailing address
4300 New Getwell Rd
Memphis, TN 38118-6801
Phone (901) 238-2520
Other names
- Fred's Inc.
- Fred's Pharmacy #3728
Other providers in Mabelvale, AR
- Julienne E Clark
- Leona M Colson
- Finding Fynergy LLC
- Amber Nicole Fleming
- Jenna Marie Fleury
- Fred'S Stores of Tennessee Inc.
- Iris Lakeith Golden Griffith
- Kyle Mark Griffin
- Cecelia Harris
- Vernon Harris
All providers in Mabelvale, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.