Organization
FRUTH PHARMACY OF OHIO INC
Active
Other names
FRUTH PHARMACY 08
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BECKER (DIRECTOR OF PHARMACY)
(304) 675-1612
Entity
Organization
Contact information
Practice address
259 STATE ST, PROCTORVILLE, OH 45669-4011
(740) 886-7685
(740) 886-1493
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020406250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0573580
—
OH
05
—
1164437091
—
WV
01
—
2076289
PK
—
05
—
3810005672
—
WV
Enumeration date
07/29/2006
Last updated
01/18/2017
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