Provider Demographics
NPI:1124328844
Name:IORDACHE, MIHAELA (RPH)
Entity type:Individual
Prefix:MRS
First Name:MIHAELA
Middle Name:
Last Name:IORDACHE
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 1:460 SW MT SI BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-8291
Mailing Address - Country:US
Mailing Address - Phone:425-831-2126
Mailing Address - Fax:425-831-2135
Practice Address - Street 1:460 SW MT SI BLVD
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-8291
Practice Address - Country:US
Practice Address - Phone:425-831-2126
Practice Address - Fax:425-831-2135
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60020901183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist