Individual
MRS. IRENE B MENEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
418 APPLICIAN HIGHWAY, PINEVILLE, WV 24874
(304) 732-8886
(304) 732-9550
Mailing address
904 LINCOLN STREET, MULLENS, WV 25882
(304) 294-6445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4176
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4176
WEST VIRGINIA BOARD OF PHARMACY
WV
Enumeration date
03/17/2011
Last updated
03/17/2011
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