FREDS STORES OF TENNESSEE INC.
NPI: 1265878557
· BOLIVAR, TN 38008
· Community/Retail Pharmacy
· NPI assigned 05/14/2013
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KULKARNI, RAHUL (SVP OF FINANCE) |
| Parent Organization | FREDS INC. |
| NPI Enumeration Date | 05/14/2013 |
Related Entities
Other providers sharing the same authorized official: KULKARNI, RAHUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
12 |
12 |
$0.00 |