Organization · Type 2 NPI

Freds Stores of Tennessee Inc.

Community/Retail Pharmacy · Bolivar, TN

NPI number 1265878557 Active

Practice location

600 Nuckolls Rd
Bolivar, TN 38008-1532

Call (731) 658-5207 Map

Mailing address

6625 Lenox Park Blvd., Suite 200
Memphis, TN 38115

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

8 other providers at this address

Other community/retail pharmacy providers in Bolivar

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NPI record

NPI: 1265878557
Entity type: Organization (Type 2)
Issued: May 14, 2013
Last updated: Dec 6, 2019
Status: Active
Subpart: Yes of Freds Inc.

Other names

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Hudson Drug Store #3579 · doing business as
Hudson Drug Store #3579 · doing business as

Authorized official

Rahul Kulkarni
SVP of Finance
(800) 374-7417

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265878557

Freds Stores of Tennessee Inc.'s National Provider Identifier is 1265878557, issued on May 14, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bolivar, TN. The record was last updated on Dec 6, 2019.