Provider Demographics
NPI:1629583513
Name:SOLOTCHI, TEODORA (PHARMD)
Entity Type:Individual
Prefix:
First Name:TEODORA
Middle Name:
Last Name:SOLOTCHI
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 1:208 DOE RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-5277
Mailing Address - Country:US
Mailing Address - Phone:862-220-9642
Mailing Address - Fax:
Practice Address - Street 1:416 ROUTE 9
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-1847
Practice Address - Country:US
Practice Address - Phone:732-269-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI0393400183500000X
NJ28RI0393400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist