# FRUTH PHARMACY OF OHIO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FRUTH PHARMACY 27
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174864011
- **Authorized official:** MARY HARRIS (MANAGED CARE ADM)
- **Authorized official phone:** (304) 675-1612

## Contact information

- **Practice address:** 1848 STATE ROUTE 141, IRONTON, OH 45638-5213
- **Practice address phone:** (740) 532-7943
- **Practice address fax:** (740) 532-8555
- **Mailing address:** FRUTH CORPORATE OFFICES, 4016 OHIO RIVER ROAD, POINT PLEASANT, WV 25550
- **Mailing address phone:** (304) 675-1612
- **Mailing address fax:** (304) 675-7905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 02-2289750 | OH | Yes |

## Other

- **Enumeration date:** 03/01/2013
- **Last updated:** 12/31/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0080913 | — | OH |
| 01 | — | 2139332 | PK | — |