Fruth Pharmacy 17

LBN: Fruth Pharmacy Inc
Fruth Pharmacy 17 is an health care organization with primary practice located at 1506 Elizabeth Pike , Mineral Wells WV 26150-8413. 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) 489-2710, or through Becker, Andrew via phone (304) 675-1612.

Contact Information

Primary practice address
1506 Elizabeth Pike Mineral Wells WV 26150-8413
Phone: (304) 489-2710
Fax: (304) 489-2687
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 0551175 West Virginia

Profile Details

NPI number 1982619821
LBN Legal business name Fruth Pharmacy Inc
DBA Doing business as Fruth Pharmacy 17
Authorized official Becker, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Jan 18th, 2017 - about 9 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 1982619821 NPPES
West Virginia MEDICAID 0227766008
West Virginia MEDICAID 1982619821
West Virginia Other 2110779

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