Provider Demographics
NPI:1881471308
Name:PRITCHARD, IRINA B (PHARMD)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:B
Last Name:PRITCHARD
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 1:25 PARK ST
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:MA
Mailing Address - Zip Code:01238-1701
Mailing Address - Country:US
Mailing Address - Phone:413-243-2402
Mailing Address - Fax:
Practice Address - Street 1:25 PARK ST
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:MA
Practice Address - Zip Code:01238-1701
Practice Address - Country:US
Practice Address - Phone:413-243-2402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH25584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist