Provider Demographics
NPI:1669641064
Name:FRED W ALBRECHT GROCERY CO
Entity Type:Organization
Organization Name:FRED W ALBRECHT GROCERY CO
Other - Org Name:ACME PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAHOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:330-733-2263
Mailing Address - Street 1:2700 GILCHRIST RD
Mailing Address - Street 2:PHARMACY
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-4433
Mailing Address - Country:US
Mailing Address - Phone:330-733-2263
Mailing Address - Fax:330-733-3640
Practice Address - Street 1:2700 GILCHRIST RD
Practice Address - Street 2:PHARMACY
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-4433
Practice Address - Country:US
Practice Address - Phone:330-733-2263
Practice Address - Fax:330-733-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH90801OtherMEDICARE MASS IMMUNIZATIO
OHFV90801Medicare PIN