Organization
FRUTH PHARMACY INC
Active
Other names
Fruth Pharmacy at Prestera Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW THOMAS BECKER (CEO)
(304) 675-1612
Entity
Organization
Contact information
Practice address
511 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 341-0257
(304) 341-0557
Mailing address
4016 OHIO RIVER RD, POINT PLEASANT, WV 25550-3257
(304) 675-1612
(304) 675-7905
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552421
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629078118
—
WV
01
—
2155004
PK
—
Enumeration date
07/26/2005
Last updated
09/29/2025
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