Fruth Pharmacy At Prestera Center

LBN: Fruth Pharmacy Inc
Fruth Pharmacy At Prestera Center is an health care organization with primary practice located at 511 Morris St , Charleston WV 25301-1326. 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) 341-0257, or through Becker, Andrew via phone (304) 675-1612.

Contact Information

Primary practice address
511 Morris St Charleston WV 25301-1326
Phone: (304) 341-0257
Fax: (304) 341-0557
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 MP0552421 West Virginia

Profile Details

NPI number 1629078118
LBN Legal business name Fruth Pharmacy Inc
DBA Doing business as Fruth Pharmacy At Prestera Center
Authorized official Becker, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
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 1629078118 NPPES
Other 2155004 PK
MEDICAID 1629078118 PK

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