Provider Demographics
NPI:1659612455
Name:SOSINSKY, INNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:INNA
Middle Name:
Last Name:SOSINSKY
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 1:1036 EDGEMONT PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-2336
Mailing Address - Country:US
Mailing Address - Phone:619-729-5990
Mailing Address - Fax:
Practice Address - Street 1:1036 EDGEMONT PL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-2336
Practice Address - Country:US
Practice Address - Phone:619-729-5990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67802183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist