Fruth Pharmacy 12

LBN: Fruth Pharmacy Inc
Fruth Pharmacy 12 is an health care organization with primary practice located at 1419 Us Route 60 , Huntington WV 25705-1654. 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) 525-0507, or through Becker, Andrew via phone (304) 675-1612.

Contact Information

Primary practice address
1419 Us Route 60 Huntington WV 25705-1654
Fax: (304) 781-2693
Website:
Authorized official contact:
Name: Becker, Andrew

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0550133 West Virginia

Profile Details

NPI number 1255346193
LBN Legal business name Fruth Pharmacy Inc
DBA Doing business as Fruth Pharmacy 12
Authorized official Becker, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Jan 18th, 2017 - about 7 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 1255346193 NPPES
West Virginia MEDICAID 0227766017
West Virginia MEDICAID 1255346193
West Virginia Other 2110578
West Virginia MEDICAID 2238582

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