Provider Demographics
NPI:1306125752
Name:ZOU, IRENA (PHARMD)
Entity type:Individual
Prefix:
First Name:IRENA
Middle Name:
Last Name:ZOU
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 1:1588 N MAIN ST
Mailing Address - Street 2:APT # 115
Mailing Address - City:PALMER
Mailing Address - State:MA
Mailing Address - Zip Code:01069-1214
Mailing Address - Country:US
Mailing Address - Phone:617-959-3588
Mailing Address - Fax:
Practice Address - Street 1:107 MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3209
Practice Address - Country:US
Practice Address - Phone:413-774-2201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233740183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist