Individual
JUSTIN ALLEN WINEBRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 S MINERAL ST, KEYSER, WV 26726-3126
(304) 788-3443
Mailing address
45 S MINERAL ST, KEYSER, WV 26726-3126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0010566
WV
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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