OrganizationActive
Renee'S Birkenstock Parkersburg, LLC
NPI 1912155102 · Non-Pharmacy Dispensing Site · Vienna, WV
Provider details
- NPI number
- 1912155102
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Helen Paxton, Member(304) 865-2315
- License
- 809506 (WV)
Specialties & taxonomies
Suppliers
Practice location
1500 Grand Central Ave
Suite 106a
Vienna, WV 26105-1079
Phone: (304) 865-2315
Fax: (304) 428-6142
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Grand Central Ave
Vienna, WV 26105-1079
Registry dates
- Enumerated
- 2008-08-31
- Last updated
- 2008-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.