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Organization

FRUTH PHARMACY INC

Active
Other names
FRUTH PHARMACY 23
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW BECKER (CEO)
(304) 675-1612
Entity
Organization

Contact information

Practice address
4539 TEAYS VALLEY RD, SCOTT DEPOT, WV 25560-7806
(304) 201-1630
(304) 201-1635
Mailing address
FRUTH CORPORATE OFFICES, 4016 OHIO RIVER RD, POINT PLEASANT, WV 25550-2127
(304) 675-1612
(304) 675-7905

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
0552322
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427063361
WV
01
2111561
PK
05
3810003499
WV
Enumeration date
07/29/2006
Last updated
09/29/2025
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