Provider Demographics
NPI:1114461670
Name:SOLIMAN, EVET I (PHARM D)
Entity Type:Individual
Prefix:
First Name:EVET
Middle Name:
Last Name:SOLIMAN
Suffix:I
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 1:1565 LEMOINE AVE
Mailing Address - Street 2:APT #2 J
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-5624
Mailing Address - Country:US
Mailing Address - Phone:908-967-7120
Mailing Address - Fax:
Practice Address - Street 1:1565 LEMOINE AVE
Practice Address - Street 2:APT #2 J
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5624
Practice Address - Country:US
Practice Address - Phone:908-967-7120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03835500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist