Organization
FRUTH PHARMACY INC
Active
Other names
FRUTH PHARMACY 18
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BECKER (CEO)
(304) 675-1612
Entity
Organization
Contact information
Practice address
218 MARKET ST, SPENCER, WV 25276-1316
(304) 927-0011
(304) 891-2027
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
MP0551186
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227766009
—
WV
05
—
1790790632
—
WV
01
—
2111179
PK
—
Enumeration date
07/29/2006
Last updated
09/29/2025
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