Healthcare Provider Details

I. General information

NPI: 1487669313
Provider Name (Legal Business Name): FRED W ALBRECHT GROCERY CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3979 MEDINA RD
AKRON OH
44333-2444
US

IV. Provider business mailing address

2700 GILCHRIST RD
AKRON OH
44305-4433
US

V. Phone/Fax

Practice location:
  • Phone: 330-666-3300
  • Fax: 330-666-6521
Mailing address:
  • Phone: 330-733-2263
  • Fax: 330-733-3640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number020136250
License Number StateOH

VIII. Authorized Official

Name: JEFFREY MCDOUGAL
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 330-733-2263