| NPI | 1790790632 |
|---|---|
| Doing Business As | FRUTH PHARMACY 18 |
| Entity Type | Organization |
| Authorized Contact | ANDREW BECKER CEO 304-675-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV MP0551186) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2025-09-29 |