Provider Demographics
NPI:1417938424
Name:DAMRATOSKI, IRENE MARIE (RPH)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:MARIE
Last Name:DAMRATOSKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 ROYCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1244
Mailing Address - Country:US
Mailing Address - Phone:412-343-5373
Mailing Address - Fax:
Practice Address - Street 1:250 MOUNT LEBANON BLVD
Practice Address - Street 2:ASTIS PHARMACY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1252
Practice Address - Country:US
Practice Address - Phone:412-561-2347
Practice Address - Fax:412-680-4842
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP024952L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist