Provider Demographics
NPI:1417257916
Name:SILVER, IRINA (PHARM D)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6936 MILLBROOK PARK DR
Mailing Address - Street 2:APT 1A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-1108
Mailing Address - Country:US
Mailing Address - Phone:410-602-4034
Mailing Address - Fax:
Practice Address - Street 1:6936 MILLBROOK PARK DR
Practice Address - Street 2:APT 1A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-1108
Practice Address - Country:US
Practice Address - Phone:410-602-4034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-30
Last Update Date:2010-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist