Organization
RENEGADE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY LEE CUNNINGHAM (OWNER)
(304) 994-0635
Entity
Organization
Contact information
Practice address
RT 10 COOK PARKWAY/18 LOGAN STREET, OCEANA, WV 24870
(304) 682-0444
(304) 682-0447
Mailing address
PO BOX 69, OCEANA, WV 24870-0069
(304) 682-0444
(304) 682-0447
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us