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Renee's Birkenstock Parkersburg, Llc
Non-Pharmacy Dispensing Site in Vienna, West Virginia
NPI 1912155102

Renee's Birkenstock Parkersburg, Llc is a Non-Pharmacy Dispensing Site based in Vienna, WV. Renee's Birkenstock Parkersburg, Llc practices in Vienna, WV. The NPI Number for Renee's Birkenstock Parkersburg, Llc is 1912155102 and holds a License No. 809506 (West Virginia).

The current practice location address for Renee's Birkenstock Parkersburg, Llc is 1500 Grand Central Ave, Vienna, WV and can be reached out via phone at 304-865-2315 and via fax at 304-428-6142.

Location: 1500 Grand Central Ave, Vienna, WV, 26105-1079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912155102
Provider Name
Renee's Birkenstock Parkersburg, Llc
Credential
Provider Entity Type
Organization
Address
1500 Grand Central Ave, Vienna, WV, 26105-1079
Phone Number
304-865-2315
Fax Number
304-428-6142
Provider Enumeration Date
08/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 Grand Central Ave
City
Vienna
State
West Virginia
Zip
26105-1079
Phone Number
304-865-2315
Fax Number
304-428-6142
person
Provider Business Mailing Address Details
Address
1500 Grand Central Ave
City
Vienna
State
West Virginia
Zip
26105-1079
Phone Number
304-865-2315
Fax Number
304-428-6142
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
809506 (West Virginia)
Definition
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.)
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