Provider Demographics
NPI:1821678632
Name:SOLIMAN, SECIL SAID (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:SECIL
Middle Name:SAID
Last Name:SOLIMAN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4303 BARBOUR TRL
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-4143
Mailing Address - Country:US
Mailing Address - Phone:720-933-6496
Mailing Address - Fax:
Practice Address - Street 1:4303 BARBOUR TRL
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-4143
Practice Address - Country:US
Practice Address - Phone:720-933-6496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL43365183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL33556OtherSELF