Provider Demographics
NPI:1437781143
Name:SOLI, MIMI (PHARMD, RPH)
Entity Type:Individual
Prefix:MRS
First Name:MIMI
Middle Name:
Last Name:SOLI
Suffix:
Gender:F
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 1:27-2467 KAHALA PL
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2278
Mailing Address - Country:US
Mailing Address - Phone:808-987-6913
Mailing Address - Fax:
Practice Address - Street 1:391 E MAKAALA ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5146
Practice Address - Country:US
Practice Address - Phone:808-920-8606
Practice Address - Fax:808-920-8616
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-4051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist