Provider Demographics
NPI:1417617523
Name:SOLDNER, JOHN (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:SOLDNER
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 OLD CAHABA TRL
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-7045
Mailing Address - Country:US
Mailing Address - Phone:760-819-3463
Mailing Address - Fax:
Practice Address - Street 1:392 OLD CAHABA TRL
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-7045
Practice Address - Country:US
Practice Address - Phone:760-819-3463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL210651835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist