Provider Demographics
NPI:1427385301
Name:IRWIN, JAMES LLOYD (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LLOYD
Last Name:IRWIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20243 WYNFREED LN
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-4053
Mailing Address - Country:US
Mailing Address - Phone:818-772-7570
Mailing Address - Fax:888-827-8795
Practice Address - Street 1:20246 WYNFREED LN
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91326-4053
Practice Address - Country:US
Practice Address - Phone:818-772-7570
Practice Address - Fax:888-827-8795
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist