Provider Demographics
NPI:1609113794
Name:SCHOEPKE, IRENA E (PHARMD)
Entity Type:Individual
Prefix:
First Name:IRENA
Middle Name:E
Last Name:SCHOEPKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:IRENA
Other - Middle Name:E
Other - Last Name:KOZAREV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4050 BRIARGATE PKWY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7815
Mailing Address - Country:US
Mailing Address - Phone:719-364-5280
Mailing Address - Fax:
Practice Address - Street 1:4050 BRIARGATE PKWY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7815
Practice Address - Country:US
Practice Address - Phone:719-364-5280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0019684183500000X
CA64206183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist