Provider Demographics
NPI:1518368851
Name:BELDER, IRENE R (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:R
Last Name:BELDER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 THOROUGHBRED DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2570
Mailing Address - Country:US
Mailing Address - Phone:215-968-4036
Mailing Address - Fax:
Practice Address - Street 1:12 THOROUGHBRED DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2570
Practice Address - Country:US
Practice Address - Phone:215-968-4036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044840L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist