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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FREDS STORES OF TENNESSEE INC

Active Organization

FREDS STORES OF TENNESSEE INC is a Long-Term Care Pharmacy organization located in ITTA BENA, Mississippi. NPI 1114943784 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · ITTA BENA, MS

Registration Details

NPI Number
1114943784
Provider Type
Organization
NPI Issued
Jul 15, 2006 (20.065777835364 yrs)
Last Updated
Dec 4, 2007
Licenses
0351201FI (MS)
0351201FI (MS)

Practice Information

Address
118 HUMPHREYS ST
ITTA BENA, MS, 389412004
Browse MS providers · Browse ZIP 38941
Phone
6622546241
Fax
6622549907
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Long-Term Care Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.