Provider Demographics
NPI:1619571700
Name:SOLANGI, SANA YASMINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:SANA
Middle Name:YASMINE
Last Name:SOLANGI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 COASTAL OAK
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-4470
Mailing Address - Country:US
Mailing Address - Phone:228-547-0881
Mailing Address - Fax:
Practice Address - Street 1:501 N 16TH AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-3852
Practice Address - Country:US
Practice Address - Phone:601-428-0408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-16636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist