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General NPI Number Information
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NPI Number | 1174864011
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Entity Type | Organization
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Legal Business Name | FRUTH PHARMACY OF OHIO INC
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Dates
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Enumeration Date | 03/01/2013
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 1848 STATE ROUTE 141
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City | IRONTON
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State | OH
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Zip | 45638-5213
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Country | US
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Telephone | 740-532-7943
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Fax | 740-532-8555
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Provider Business Mailing Address
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Address Line | FRUTH CORPORATE OFFICES 4016 OHIO RIVER ROAD
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City | POINT PLEASANT
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State | WV
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Zip | 25550
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Country | US
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Telephone | 304-675-1612
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Fax | 304-675-7905
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Authorized Official
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Title or Position | MANAGED CARE ADM
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Name | MARY HARRIS
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Credential |
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Telephone | 304-675-1612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 02-2289750
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License Number State | OH
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