{
"Npi": {
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"EntityType": "Organization",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "FRED'S INC.",
"ParentOrgTIN": null,
"OrgName": "FRED'S STORES OF TENNESSEE INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherNamePrefix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "4300 NEW GETWELL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MEMPHIS",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "38118-6801",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "901-238-2520",
"MailingAddressFaxNumber": "901-365-9820",
"FirstLinePracticeLocationAddress": "125 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "QUITMAN",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39355-2109",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-776-6282",
"PracticeLocationAddressFaxNumber": "601-776-6061",
"EnumerationDate": "02/07/2017",
"LastUpdateDate": "02/07/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROBERTSON",
"AuthorizedOfficialFirstName": "JOYCE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACY LIC. & PERMITTING SPECIALI",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "901-238-2520",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}