Organization · Type 2 NPI

Freds Stores of Tennessee Inc.

Community/Retail Pharmacy · Lake Providence, LA

NPI number 1306282827 Active

Practice location

303 N Hood St
Lake Providence, LA 71254-2141

Call (318) 559-2433 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 …

3 other providers at this address

Other community/retail pharmacy providers in Lake Providence

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NPI record

NPI: 1306282827
Entity type: Organization (Type 2)
Issued: May 13, 2013
Last updated: Dec 6, 2019
Status: Active
Subpart: Yes of Freds Inc.

Other names

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Freds Pharmacy 3958 · doing business as
Freds Pharmacy 3958 · 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 1306282827

Freds Stores of Tennessee Inc.'s National Provider Identifier is 1306282827, issued on May 13, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lake Providence, LA. The record was last updated on Dec 6, 2019.