Provider Demographics
NPI:1871240036
Name:NDIMBO, SOLIE K (PHARMD)
Entity Type:Individual
Prefix:
First Name:SOLIE
Middle Name:K
Last Name:NDIMBO
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 1:8270 ROOKERY WAY APT SUITE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8236
Mailing Address - Country:US
Mailing Address - Phone:616-510-7901
Mailing Address - Fax:
Practice Address - Street 1:8270 ROOKERY WAY APT SUITE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8236
Practice Address - Country:US
Practice Address - Phone:616-510-7901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03441669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist