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General NPI Number Information
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NPI Number | 1750396685
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Entity Type | Organization
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Legal Business Name | FRED W ALBRECHT GROCERY COMPANY
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 116 W STREETSBORO ST
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City | HUDSON
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State | OH
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Zip | 44236-2756
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Country | US
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Telephone | 330-650-1608
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Fax | 330-653-5028
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Provider Business Mailing Address
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Address Line | 2700 GILCHRIST RD
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City | AKRON
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State | OH
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Zip | 44305-4433
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Country | US
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Telephone | 330-733-2263
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Fax | 330-733-3640
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | JEFFREY MCDOUGAL
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Credential |
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Telephone | 307-332-2633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 020147350
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License Number State | OH
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