Provider Demographics
NPI:1023240355
Name:GIRGIS, IRENE (PHARM D)
Entity type:Individual
Prefix:MS
First Name:IRENE
Middle Name:
Last Name:GIRGIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 SOMERSET BLVD
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-4334
Mailing Address - Country:US
Mailing Address - Phone:562-232-0010
Mailing Address - Fax:562-232-0013
Practice Address - Street 1:8001 SOMERSET BLVD
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-4334
Practice Address - Country:US
Practice Address - Phone:562-232-0010
Practice Address - Fax:562-232-0013
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist