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General NPI Number Information
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NPI Number | 1831104769
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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 | 09/03/2024
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Provider Practice Location Address
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Address Line | 1709 STATE ROUTE 59
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City | KENT
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State | OH
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Zip | 44240-2849
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Country | US
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Telephone | 330-678-3662
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Fax | 330-678-2265
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Provider Business Mailing Address
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Address Line | ACME PHARMACY PO BOX 567
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City | AKRON
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State | OH
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Zip | 44309-0567
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Country | US
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Telephone | 330-733-2263
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Fax | 330-733-8782
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Authorized Official
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Title or Position | RX BILLING AND COMPLIANCE
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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 | 020398500
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License Number State | OH
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