NPI 1912155102
Renee's Birkenstock Parkersburg, LLC
Practice location
- Address
- 1500 Grand Central Ave Suite 106a, Vienna, WV 26105-1079
- Phone
- (304) 865-2315
- Fax
- (304) 428-6142
Authorised official
- Name
- Helen Louise Paxton
- Title
- Member
- Phone
- (304) 865-2315
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1912155102
- Entity type
- Organization
- NPI issued
- 31 Aug 2008
- Record last updated
- 17 Nov 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.