Provider Demographics
NPI:1386886133
Name:IRWIN, WINDY SUE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:WINDY
Middle Name:SUE
Last Name:IRWIN
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 1:6050 TORREY PNES
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-8058
Mailing Address - Country:US
Mailing Address - Phone:301-703-8087
Mailing Address - Fax:
Practice Address - Street 1:6050 TORREY PNES
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-8058
Practice Address - Country:US
Practice Address - Phone:301-703-8087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15869183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist