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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 VARDAMAN, Mississippi. NPI 1396762860 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · VARDAMAN, MS

Registration Details

NPI Number
1396762860
Provider Type
Organization
NPI Issued
Jul 17, 2006 (20.060333704951 yrs)
Last Updated
Dec 6, 2019
Licenses
0403301FV (MS)
0403301FV (MS)

Practice Information

Address
101 W SWEET POTATO ST
VARDAMAN, MS, 388789433
Browse MS providers · Browse ZIP 38878
Phone
6626827489
Fax
6626829132
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in VARDAMAN, MS

Name NPI
SCPG MISSISSIPPI LLC 1780235614
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.