Provider Demographics
NPI:1205906682
Name:RENNO, BELINDA JANE (RPH)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:JANE
Last Name:RENNO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:ANTWERP
Mailing Address - State:OH
Mailing Address - Zip Code:45813-0246
Mailing Address - Country:US
Mailing Address - Phone:419-258-2068
Mailing Address - Fax:419-258-2444
Practice Address - Street 1:109 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ANTWERP
Practice Address - State:OH
Practice Address - Zip Code:45813-0246
Practice Address - Country:US
Practice Address - Phone:419-258-2068
Practice Address - Fax:419-258-2444
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03112283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist