Organization · Type 2 NPI

Freds Super Pharmacy Inc

Community/Retail Pharmacy · Vicksburg, MI

NPI number 1982680468 Active

Practice location

121 W Prairie St
Vicksburg, MI 49097

Fax (269) 649-4755

Mailing address

PO Box 80, 121 W Prairie St
Vicksburg, MI 49097-0080

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy Primary 3336C0003X5301005983 (MI)

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 …

4 other providers at this address

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About NPI 1982680468

Freds Super Pharmacy Inc's National Provider Identifier is 1982680468, issued on Dec 16, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Vicksburg, MI. The record was last updated on Apr 1, 2015.