Provider Demographics
NPI:1366849812
Name:SOLOMON, ISAAC (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:M
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 1:739 SUNNY FIELD LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-6725
Mailing Address - Country:US
Mailing Address - Phone:770-826-6669
Mailing Address - Fax:
Practice Address - Street 1:739 SUNNY FIELD LN
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-6725
Practice Address - Country:US
Practice Address - Phone:770-826-6669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-28
Last Update Date:2014-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028214183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist