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1154977023
RENEGADE PHARMACY INC.
OCEANA, WV
NPI
1154977023
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Entity Type
Organization
Authorized Contact
JENNY LEE CUNNINGHAM
Owner
304-994-0635
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date
2019-08-15
Last Update Date
2019-08-15
Business Address
RENEGADE PHARMACY INC.
RT 10 COOK PARKWAY/18 LOGAN STREET
OCEANA, WV 24870
Phone number: 304-682-0444
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Mailing Address
RENEGADE PHARMACY INC.
PO BOX 69
OCEANA, WV 24870-0069
Phone number: 304-682-0444
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