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General NPI Number Information
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NPI Number | 1629078118
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Entity Type | Organization
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Legal Business Name | FRUTH PHARMACY INC
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 511 MORRIS ST
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City | CHARLESTON
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State | WV
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Zip | 25301-1326
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Country | US
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Telephone | 304-341-0257
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Fax | 304-341-0557
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Provider Business Mailing Address
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Address Line | 4016 OHIO RIVER RD
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City | POINT PLEASANT
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State | WV
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Zip | 25550-3257
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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 | CEO
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Name | ANDREW THOMAS BECKER
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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 | 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | MP0552421
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License Number State | WV
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