JOHN A DERENBURGER

CHARLESTON, WV
NPI1194790600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WV  0005220)
Enumeration Date2006-02-18
Last Update Date2007-07-08
Business Address
Mr. JOHN A DERENBURGER
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-4210
Mailing Address
Mr. JOHN A DERENBURGER
1990 PARKWOOD RD
CHARLESTON, WV 25314-2242
Phone number: 304-345-6124
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