Provider Demographics
NPI:1730489386
Name:HRYMOTS, IRYNA (PHARMD)
Entity Type:Individual
Prefix:
First Name:IRYNA
Middle Name:
Last Name:HRYMOTS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:IRYNA
Other - Middle Name:
Other - Last Name:NOZDRIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:770 S BUFFALO GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089
Mailing Address - Country:US
Mailing Address - Phone:847-459-7704
Mailing Address - Fax:847-459-8146
Practice Address - Street 1:770 S BUFFALO GROVE RD
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-3708
Practice Address - Country:US
Practice Address - Phone:847-459-7704
Practice Address - Fax:847-459-8146
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051292701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist