NPI | 1629078118 |
---|---|
Doing Business As | FRUTH PHARMACY AT PRESTERA CENTER |
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 MP0552421) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-07-26 |
Last Update Date | 2017-01-18 |