Freds Xpress

NPI 1730200114 - Pharmacy - 3336C0003X

NPI Details
NPI 1730200114
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICKY RICKY
Position EXEC VP
Phone (601) 785-6812
Fax (601) 785-4993
Practice Location
305 FRONT ST
TAYLORSVILLE MS, 39168-0818, US
Phone (601) 785-6812
Fax (601) 785-4993
Business Location
PO BOX 818
TAYLORSVILLE MS, 39168-0818, US
Phone
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Mississippi
License Number 03081012
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According to our database, Freds Xpress NPI is 1730200114, taxonomy code is 3336C0003X and license number is 03081012, license state is located at Mississippi. Freds Xpress physically located at 305 Front St, Taylorsville MS, 39168-0818. NPI Number 1033115704 has the healthcare provider type.

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1730200114 NPI number is provided on an as is basis without warranty of any kind. 1730200114 is maintained by the National Plan & Provider Enumeration System. The contents of Freds Xpress are for informational purposes only.