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FRUTH PHARMACY INC NPI 1629078118


NPI Information

NPI: 1629078118
Provider Name: FRUTH PHARMACY INC

Doing Business As: FRUTH PHARMACY AT PRESTERA CENTER

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 51D2109315

Address:
511 MORRIS ST
CHARLESTON, WV
ZIP 25301
Phone: (304) 341-0257
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FRUTH PHARMACY INC is a community/retail pharmacy pharmacy in Charleston, WV. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FRUTH PHARMACY INC NPI is 1629078118. The provider is registered as an organization entity type.
The provider Is Doing Business As Fruth Pharmacy At Prestera Center.

The provider's business location address is:

511 MORRIS ST
CHARLESTON, WV
ZIP 25301-326
Phone: (304) 341-0257
Fax: (304) 341-0557

The provider's authorized official is Andrew Becker .
The authorized official title is Director Of Pharmacy and has the following contact phone number (304) 675-1612.

The CLIA number assigned to this NPI record is 51D2109315 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 1/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyMP0552421WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11629078118MEDICAIDWEST VIRGINIA
20290790019MEDICARE NSC
32155004OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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