Fruth Pharmacy 25

LBN: Fruth Pharmacy Inc
Fruth Pharmacy 25 is an health care organization with primary practice located at 701 Lee St E , Charleston WV 25301-1706. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fruth Pharmacy Inc can be contacted via phone (304) 720-8341, or through Becker, Andrew via phone (304) 675-1612.

Contact Information

Primary practice address
701 Lee St E Charleston WV 25301-1706
Phone: (304) 720-8341
Fax: (304) 720-8343
Website:
Map and Directions
Authorized official contact:
Name: Becker, Andrew
Phone: (304) 675-1612

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0552332 West Virginia

Profile Details

NPI number 1154336097
LBN Legal business name Fruth Pharmacy Inc
DBA Doing business as Fruth Pharmacy 25
Authorized official Becker, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Jan 18th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154336097 NPPES
West Virginia MEDICAID 1154336097
West Virginia Other 2111576
West Virginia MEDICAID 3810004942

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