Provider Demographics
NPI:1609471465
Name:STIKHILYAS, IRINA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:IRINA
Middle Name:
Last Name:STIKHILYAS
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 1:4220 ALY DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1196
Mailing Address - Country:US
Mailing Address - Phone:718-427-5137
Mailing Address - Fax:
Practice Address - Street 1:1862 W MAPLE AVE
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-2030
Practice Address - Country:US
Practice Address - Phone:215-750-3950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist