Renee's Birkenstock Parkersburg, LLC
NPI #1912155102 in Vienna, West Virginia
Provider Information
- NPI Number
- 1912155102
- Entity Type
- Organization
- Organization Name
- Renee's Birkenstock Parkersburg, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Aug 31, 2008
- Last Updated
- Nov 17, 2008
Practice Location
- Address
- 1500 GRAND CENTRAL AVE
- Address 2
- SUITE 106A
- City
- Vienna
- State
- West Virginia
- ZIP Code
- 26105-1079
- Phone
- (304) 865-2315
Authorized Official
- Name
- HELEN LOUISE PAXTON
- Title
- MEMBER
- Phone
- (304) 865-2315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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