Fred'S Pharmacy

Organization Active NPI Community/Retail Pharmacy · Henderson, TN

NPI 1487095667 · NPPES record last updated Jul 16, 2013

Key facts

NPI
1487095667
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
000036760 (TN)
Legal business name
FRED'S PHARMACY
Practice address
535 W Main St
Henderson, TN 38340-2536
Phone
(731) 989-9933
Fax
(731) 989-9934
NPI assigned
Jul 16, 2013
Organization subpart
No

Authorized official

Name
Mrs. Lisa Michelle King, PHARMD
Title
Pharmacist
Phone
(731) 989-9933

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 000036760 TN Yes

Addresses

Primary practice location

535 W Main St
Henderson, TN 38340-2536

Mailing address

535 W Main St
Henderson, TN 38340-2536
Phone (731) 989-9933

Other providers in Henderson, TN

All providers in Henderson, TN · Community/Retail Pharmacy in Tennessee

Sources for this page

Verify at the official NPI Registry.