Organization
FRUTH PHARAMCY INC
Active
Other names
Fruth Central Fill # 900
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BECKER (DIRECTOR OF PHARMACY)
(304) 675-1612
Entity
Organization
Contact information
Practice address
106 21ST ST, NITRO, WV 25143-1740
(304) 755-9015
(304) 755-9020
Mailing address
106 21ST ST, NITRO, WV 25143-1740
(304) 755-9015
(304) 755-9020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
MP0552419
WV
3336C0003X
Community/Retail Pharmacy
Primary
022561300
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154064
PK
—
Enumeration date
09/18/2015
Last updated
01/18/2017
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