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NPI Code Detail

MEDICARE: FRUTH PHARMACY INC

MEDICARE: FRUTH PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy0550089WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12110373OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437164373
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRUTH PHARMACY INC
Provider Business Mailing Address
First Line : FRUTH CORPORATE OFFICES
Second Line : 4016 OHIO RIVER ROAD
City : POINT PLEASANT
State : WV
Zip : 25550
Country : US
Telephone Number : 304-675-1612
Fax Number : 304-675-7338
Provider Business Practice Location Address
First Line : 3109 TEAYS VALLEY RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-1318
Country : US
Telephone Number : 304-562-2677
Fax Number : 304-562-0629
Authorized Official
Title or Position : CEO
Name : ANDREW BECKER
Credential :
Telephone Number : 304-675-1612
Provider Enumeration Date : 07/29/2006
Last Update Date : 09/29/2025

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