| NPI | 1255346193 |
|---|---|
| Doing Business As | FRUTH PHARMACY 12 |
| Entity Type | Organization |
| Authorized Contact | ANDREW BECKER Director Of Pharmacy 304-675-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV 0550133) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2017-01-18 |