institution
Freds Stores Of Tennessee Inc
Community/Retail Pharmacy in Roebuck, South Carolina
NPI 1043441678

Freds Stores Of Tennessee Inc is a Community/Retail Pharmacy based in Memphis, SC and is specialized in Community/Retail Pharmacy. Freds Stores Of Tennessee Inc practices in Roebuck, SC. The NPI Number for Freds Stores Of Tennessee Inc is 1043441678 and holds a License No. 10550 (South Carolina).

The current practice location address for Freds Stores Of Tennessee Inc is 1876 E Blackstock Rd, Roebuck, SC and can be reached out via phone at 864-574-8323 and via fax at 864-574-9147.

Location: 1876 E Blackstock Rd, Roebuck, SC, 38118-6801
institution
Provider Profile Details
NPI Number
1043441678
Provider Name
Freds Stores Of Tennessee Inc
Credential
Provider Entity Type
Organization
Address
1876 E Blackstock Rd, Roebuck, SC, 38118-6801
Phone Number
864-574-8323
Fax Number
864-574-9147
Provider Enumeration Date
07/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71055D 05 SC
4229096 01 NCPDP
DE3393 01 SC MEDICAID DME
institution
Provider Business Practice Location Address Details
Address
1876 E Blackstock Rd
City
State
Zip
29376-2700
Phone Number
864-574-8323
Fax Number
864-574-9147
person
Provider Business Mailing Address Details
Address
1876 E Blackstock Rd
City
State
Zip
29376-2700
Phone Number
864-574-8323
Fax Number
864-574-9147
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
10550 (South Carolina)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
10550 (South Carolina)
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
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