Freds Super Pharmacy Inc
Community/Retail Pharmacy
121 W Prairie St, Vicksburg
Michigan, 49097
269-649-0660 269-649-4755
Freds Super Pharmacy Inc is a Community/Retail Pharmacy in Vicksburg, Michigan. It is located at 121 W Prairie St, Vicksburg and it's customer support contact number is 269-649-0660. The authorized person of Freds Super Pharmacy Inc is Elaine Oestrike who is Manager/rph of the pharmacy and his contact number is 269-649-0660. Active license number of Freds Super Pharmacy Inc is 5301005983 for Community/Retail Pharmacy in Michigan. Freds Super Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Freds Super Pharmacy Inc is 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.
Pharmacy Details:
Freds Super Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Freds Super Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 121 W Prairie St, Vicksburg,
Michigan, 49097 |
| Phone: | 269-649-0660 |
| Fax: | 269-649-4755 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Elaine Oestrike |
| Position: | Manager/rph |
| Contact Number: | 269-649-0660 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1982680468 |
| NPI Enumeration Date: | 16 Dec, 2005 |
| NPI Last Update On: | 01 Apr, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Freds Super Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 5301005983 | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3045857 | Medicaid | Michigan | |
Medicare Enrollment:
Freds Super Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6002829231 | O20060711000059 | Freds Super Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 6002829231 | O20100930052655 | Freds Super Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
Freds Super Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Diabetic Shoes & Inserts: Prefabricated |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 80, 121 W Prairie St
Vicksburg, Michigan |
| Zip: | 49097-0080 |
| Phone Number: | 269-649-0660 |
| Fax Number: | 269-649-4755 |
Patients can reach Freds Super Pharmacy Inc at
121 W Prairie St, Vicksburg, Michigan or can
call on customer care at 269-649-0660.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.