Healthcare Provider Details

I. General information

NPI: 1669641064
Provider Name (Legal Business Name): FRED W ALBRECHT GROCERY CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 GILCHRIST RD PHARMACY
AKRON OH
44305-4433
US

IV. Provider business mailing address

2700 GILCHRIST RD PHARMACY
AKRON OH
44305-4433
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JEFF MCDOUGAL
Title or Position: DIRECTOR OF PHARMACY OPERATIONS
Credential: RPH
Phone: 330-733-2263