Provider Demographics
NPI:1881026631
Name:ZLOCHEVSKAYA, IRINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:ZLOCHEVSKAYA
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 1:3610 MATTHEWS MINT HILL RD
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-3605
Mailing Address - Country:US
Mailing Address - Phone:704-708-5701
Mailing Address - Fax:704-708-4914
Practice Address - Street 1:3610 MATTHEWS MINT HILL RD
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-3605
Practice Address - Country:US
Practice Address - Phone:704-708-5701
Practice Address - Fax:704-708-4914
Is Sole Proprietor?:No
Enumeration Date:2013-08-04
Last Update Date:2013-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22841183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist