Provider Demographics
NPI:1750721783
Name:RYNKIEWICZ, SOPHIA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:
Last Name:RYNKIEWICZ
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 1:1000 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-1842
Mailing Address - Country:US
Mailing Address - Phone:570-450-7272
Mailing Address - Fax:
Practice Address - Street 1:1000 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201-1842
Practice Address - Country:US
Practice Address - Phone:570-450-7272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447686183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist