| NPI | 1538611520 |
|---|---|
| Doing Business As | FRUTH PHARMACY #28 |
| Entity Type | Organization |
| Authorized Contact | ANDREW BECKER Director Of Pharmacy 304-675-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV MP0552424) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2017-03-17 |