Provider Demographics
NPI:1831352798
Name:ORYNCHAK, IRENE (RPH)
Entity type:Individual
Prefix:MS
First Name:IRENE
Middle Name:
Last Name:ORYNCHAK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36711 AMERICAN WAY
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-4045
Mailing Address - Country:US
Mailing Address - Phone:440-937-2354
Mailing Address - Fax:440-937-2355
Practice Address - Street 1:36711 AMERICAN WAY
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-4045
Practice Address - Country:US
Practice Address - Phone:440-937-2354
Practice Address - Fax:440-937-2355
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-16872183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist