Provider Demographics
NPI:1346516424
Name:SOLIMAN-GIRGIS CORP
Entity Type:Organization
Organization Name:SOLIMAN-GIRGIS CORP
Other - Org Name:NUEVO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHALE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-322-4700
Mailing Address - Street 1:75 W NUEVO RD STE H
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-0801
Mailing Address - Country:US
Mailing Address - Phone:951-322-4700
Mailing Address - Fax:951-943-4645
Practice Address - Street 1:75 W NUEVO RD STE H
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-0801
Practice Address - Country:US
Practice Address - Phone:951-322-4700
Practice Address - Fax:951-943-4645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA508263336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1346516424Medicaid
CA1346516424Medicaid