Provider Demographics
NPI:1750676656
Name:KAWASHIMA, IRENE Y (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:Y
Last Name:KAWASHIMA
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 1:2831 E EASTLAND CTR DR
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-1624
Mailing Address - Country:US
Mailing Address - Phone:626-257-2287
Mailing Address - Fax:626-257-2287
Practice Address - Street 1:2831 E EASTLAND CTR DR
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-1624
Practice Address - Country:US
Practice Address - Phone:626-257-2287
Practice Address - Fax:626-257-2287
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist