Provider Demographics
NPI:1295389047
Name:SOLESBEE, CASSONDRA ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:CASSONDRA
Middle Name:ANN
Last Name:SOLESBEE
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 1:200 W CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4604
Mailing Address - Country:US
Mailing Address - Phone:903-465-6182
Mailing Address - Fax:
Practice Address - Street 1:200 W CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4604
Practice Address - Country:US
Practice Address - Phone:903-465-6182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist