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General NPI Number Information
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NPI Number | 1255449831
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Entity Type | Organization
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Legal Business Name | FRUCHEY, INC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 400 W CAPITOL AVE # 101A REGIONS CENTER
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City | LITTLE ROCK
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State | AR
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Zip | 72201-3436
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Country | US
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Telephone | 501-374-2207
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Fax | 501-374-2208
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Provider Business Mailing Address
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Address Line | 400 W CAPITOL AVE STE 101A REGIONS CENTER
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City | LITTLE ROCK
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State | AR
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Zip | 72201-3436
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Country | US
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Telephone | 501-374-2207
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Fax | 501-374-2208
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Authorized Official
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Title or Position | OWNER
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Name | WALTER FRUCHEY
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Credential | PHARMD
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Telephone | 501-374-2207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR18409
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License Number State | AR
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