Healthcare Provider Details

I. General information

NPI: 1164437000
Provider Name (Legal Business Name): FRUTH PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12803 WINFIELD RD
WINFIELD WV
25213-7452
US

IV. Provider business mailing address

FRUTH CORPORATE OFFICES 4016 OHIO RIVER RD
POINT PLEASANT WV
25550-2127
US

V. Phone/Fax

Practice location:
  • Phone: 304-586-3088
  • Fax: 304-204-2086
Mailing address:
  • Phone: 304-675-1612
  • Fax: 304-675-7338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0550173
License Number StateWV

VIII. Authorized Official

Name: ANDREW BECKER
Title or Position: CEO
Credential:
Phone: 304-675-1612