| NPI | 1174864011 |
|---|---|
| Doing Business As | FRUTH PHARMACY 27 |
| Entity Type | Organization |
| Authorized Contact | MARY HARRIS Managed Care Adm 304-675-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02-2289750) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2014-12-31 |