Organization
FRUTH PHARMACY INC
Active
Parent organization
FRUTH INC
Other names
Fruth Pharmacy #105
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRUTH INC
Authorized official
ANDREW THOMAS BECKER R.PH (DIRECTOR OF PHARMACY ADMINISTRATION)
(304) 675-1612
Entity
Organization
Contact information
Practice address
10 SPRING ST, CHARLESTON, WV 25302-3745
(304) 593-9975
Mailing address
10 SPRING ST, CHARLESTON, WV 25302-3745
(304) 593-9975
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0552542
—
WV
Enumeration date
11/29/2018
Last updated
04/15/2020
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