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1194790600
JOHN A DERENBURGER
CHARLESTON, WV
NPI
1194790600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WV 0005220)
Enumeration Date
2006-02-18
Last Update Date
2007-07-08
Business Address
Mr. JOHN A DERENBURGER
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-4210
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Mailing Address
Mr. JOHN A DERENBURGER
1990 PARKWOOD RD
CHARLESTON, WV 25314-2242
Phone number: 304-345-6124
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