Individual
GERALD RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 N FRALEY ST, KANE, PA 16735-1162
(814) 837-6160
Mailing address
20 OAK ST, WARREN, PA 16365-2838
(814) 723-7037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP038435L
PA
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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