Provider Demographics
NPI:1407383466
Name:SOLONDZ, SKYLER (CPHT)
Entity Type:Individual
Prefix:MS
First Name:SKYLER
Middle Name:
Last Name:SOLONDZ
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:JONATHAN
Other - Middle Name:MICHAEL
Other - Last Name:SOLONDZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPHT
Mailing Address - Street 1:4 BRANDYWINE CT
Mailing Address - Street 2:
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-2201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4 BRANDYWINE CT
Practice Address - Street 2:
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981-2201
Practice Address - Country:US
Practice Address - Phone:973-936-4449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-21
Last Update Date:2017-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
590107010243698183700000X
NJ28RW01635000183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician