Organization · Type 2 NPI

Renee's Birkenstock Parkersburg, LLC

Non-Pharmacy Dispensing Site · Vienna, WV

NPI number 1912155102 Active

Practice location

1500 Grand Central Ave, Suite 106A
Vienna, WV 26105-1079

Call (304) 865-2315 Map

Fax (304) 428-6142

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000X809506 (WV)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

21 other providers at this address

About NPI 1912155102

Renee's Birkenstock Parkersburg, LLC's National Provider Identifier is 1912155102, issued on Aug 31, 2008. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Vienna, WV. The record was last updated on Nov 17, 2008.