# FRUTH PHARMACY OF OHIO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FRUTH PHARMACY 08
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164437091
- **Authorized official:** ANDREW BECKER (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (304) 675-1612

## Contact information

- **Practice address:** 259 STATE ST, PROCTORVILLE, OH 45669-4011
- **Practice address phone:** (740) 886-7685
- **Practice address fax:** (740) 886-1493
- **Mailing address:** FRUTH CORPORATE OFFICES, 4016 OHIO RIVER ROAD, POINT PLEASANT, WV 25550
- **Mailing address phone:** (304) 675-1612
- **Mailing address fax:** (304) 675-7338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 020406250 | OH | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 01/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0573580 | — | OH |
| 05 | — | 1164437091 | — | WV |
| 01 | — | 2076289 | PK | — |
| 05 | — | 3810005672 | — | WV |