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Contact Information

FRED W ALBRECHT GROCERY COMPANY
1709 STATE ROUTE 59
KENT, OH44240-2849
 Phone: 330-678-3662
 Fax: 330-678-2265
 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 # 1831104769
LBN Legal business name FRED W ALBRECHT GROCERY COMPANY
Authorized official JEFFREY MCDOUGAL - (RX BILLING AND COMPLIANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2006
Last updated 09/03/2024 - More than a year ago
Identifiers
OH License # 020398500
OH Medicaid 0565580
Other 3642584 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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