Renegade Pharmacy Inc.
NPI #1154977023 in Oceana, West Virginia
Provider Information
- NPI Number
- 1154977023
- Entity Type
- Organization
- Organization Name
- Renegade Pharmacy Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 15, 2019
- Last Updated
- Aug 15, 2019
Practice Location
- Address
- RT 10 COOK PARKWAY/18 LOGAN STREET
- City
- Oceana
- State
- West Virginia
- ZIP Code
- 24870
- Phone
- (304) 682-0444
Authorized Official
- Name
- MRS. JENNY LEE CUNNINGHAM
- Title
- OWNER
- Phone
- (304) 994-0635
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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