213 W RANDOLPH ST
MC LEANSBORO, IL 62859-1277 US
Freds Stores Of Tennessee Inc
Pharmacy (Community/Retail)
- MC LEANSBORO, IL
- Phone: (618)-643-3321
- Last Updated 11/5/2012
Overview
Freds Stores Of Tennessee Inc is a healthcare organization in the MC LEANSBORO area. Freds Stores Of Tennessee Inc primary office location is at 213 W RANDOLPH ST and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1205852878 and the information was updated approximately 12 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: Unknown
Participates in PECOS: NO
Contact Information
| License Number | State |
|---|---|
| 54014863 | IL |
| Type/Issuer | Identifier | State |
|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1475424 | - |
| Taxonomy | State | Primary? |
|---|---|---|
| Pharmacy (Community/Retail) - Taxonomy Code 3336C0003X | IL | Y |
| Pharmacy - Taxonomy Code 333600000X | IL | N |
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