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Provider Information for 1558765628


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SOLANO PHARMACY

Organization Subpart: NO

NPI: 1558765628
Last Updated: 2024-05-31
Certification Date: 2024-05-31

Details

NameValue
NPI1558765628
Enumeration Date2014-10-17
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: NKECHI CAROLINE ONUOHA RPH
Title: PHARMACIST-IN-CHARGE
Phone: 9259844168
Mailing Address 2172 SOLANO WAY
CONCORD, CA 94520-4700
United States

Phone: 925-332-5141 | Fax:925-332-5143
 
Primary Practice Address 2172 SOLANO WAY
CONCORD, CA 94520-4700
United States

Phone: 925-332-5141 | Fax:925-332-5143
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCA1558765628
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0003X - Pharmacy - Community/Retail Pharmacy
No 3336L0003X - Pharmacy - Long Term Care Pharmacy