Organization
FRUTH PHARMACY INC
Active
Other names
Fruth Pharmacy #28
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW THOMAS BECKER (CEO)
(304) 675-1612
Entity
Organization
Contact information
Practice address
4541 5TH STREET RD, HUNTINGTON, WV 25701-9112
(304) 522-6090
(304) 522-6094
Mailing address
4541 5TH STREET RD, HUNTINGTON, WV 25701-9112
(304) 522-6090
(304) 522-6094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
MP0552424
WV
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165893
PK
—
Enumeration date
10/26/2016
Last updated
09/29/2025
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