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Organization
FRUTH PHARMACY OF OHIO INC
Active
Organization
FRUTH PHARMACY OF OHIO INC
Active
Other names
FRUTH PHARMACY 03
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BECKER (DIRECTOR OF PHARMACY)
(304) 675-1612
Entity
Organization
Contact information
Practice address
2991 STATE ROUTE 160, GALLIPOLIS, OH 45631-8441
(740) 446-6620
(740) 446-7849
Mailing address
FRUTH CORPORATE OFFICES, 4016 OHIO RIVER ROAD, POINT PLEASANT, WV 25550
(304) 675-1612
(304) 675-7338
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
020135300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227766014
—
WV
05
—
0304861
—
OH
05
—
1528073459
—
WV
01
—
2075391
PK
—
Enumeration date
07/29/2006
Last updated
01/18/2017
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