Provider Demographics
NPI:1710219555
Name:SOLIS, MARIBEL (RPH)
Entity Type:Individual
Prefix:
First Name:MARIBEL
Middle Name:
Last Name:SOLIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3708
Mailing Address - Country:US
Mailing Address - Phone:516-539-2031
Mailing Address - Fax:516-539-2404
Practice Address - Street 1:132 FULTON AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3708
Practice Address - Country:US
Practice Address - Phone:516-539-2031
Practice Address - Fax:516-539-2404
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044244183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist