Organization · Type 2 NPI

Freds Stores of Tennessee Inc

Community/Retail Pharmacy · Lexington, MS

NPI number 1316979354 Active

Practice location

301 Yazoo St
Lexington, MS 39095-3644

Call (662) 834-3378 Map

Fax (662) 834-3395

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	29101FL (MS)
Community/Retail Pharmacy Primary	3336C0003X	29101FL (MS)

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 …

2 other providers at this address

Other community/retail pharmacy providers in Lexington

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NPI record

NPI: 1316979354
Entity type: Organization (Type 2)
Issued: Jul 7, 2006
Last updated: Dec 6, 2019
Status: Active
Subpart: Yes of Freds Inc

Other names

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Freds Pharmacy 2176 · doing business as
Freds Pharmacy 2176 · 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 1316979354

Freds Stores of Tennessee Inc's National Provider Identifier is 1316979354, issued on Jul 7, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lexington, MS. The record was last updated on Dec 6, 2019.