Provider Demographics
NPI:1255988291
Name:PINCHAK, IRIS ANN (R PH)
Entity type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:ANN
Last Name:PINCHAK
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:MRS
Other - First Name:IRIS
Other - Middle Name:ANN
Other - Last Name:PFEIFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 E. COMMERCE
Mailing Address - Street 2:
Mailing Address - City:CROWELL
Mailing Address - State:TX
Mailing Address - Zip Code:79227
Mailing Address - Country:US
Mailing Address - Phone:940-886-6925
Mailing Address - Fax:
Practice Address - Street 1:102 E. COMMERCE
Practice Address - Street 2:
Practice Address - City:CROWELL
Practice Address - State:TX
Practice Address - Zip Code:79227
Practice Address - Country:US
Practice Address - Phone:940-886-6925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19629183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist