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Contact Information

FRED W ALBRECHT GROCERY COMPANY
1474 N MAIN ST
NORTH CANTON, OH44720-1640
 Phone: 330-497-0645
 Fax: 330-497-8402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FRED W ALBRECHT GROCERY COMPANY

NPI # 1104831031
LBN Legal business name FRED W ALBRECHT GROCERY COMPANY
Authorized official JEFF MCDOUGAL - (DIRECTOR OF PHARMACY OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2006
Last updated 09/26/2024 - More than a year ago
Identifiers
OH License # 020155500
OH Medicaid 0389020
Other 3634929 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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