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Contact Information

FRUTH PHARMACY OF OHIO INC
120 W 2ND ST
WELLSTON, OH45692-1435
 Phone: 740-384-2174
 Fax: 740-384-1685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FRUTH PHARMACY OF OHIO INC

NPI # 1437164365
LBN Legal business name FRUTH PHARMACY OF OHIO INC
Authorized official ANDREW BECKER - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2006
Last updated 01/18/2017 - About 9 years ago
Identifiers
OH License # 020159900
OH Medicaid 0400668
Other 2075615 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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