Individual
TRAVIS REXRODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 STOKES DR, HINTON, WV 25951-2553
(304) 466-5069
(304) 466-6778
Mailing address
325 CRESTVIEW DR, ALDERSON, WV 24910
(304) 466-5069
(304) 466-6778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0008598
WV
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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