Provider Demographics
NPI:1336807536
Name:SOLIMAN, POLA (RPH)
Entity Type:Individual
Prefix:
First Name:POLA
Middle Name:
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 BENTON DR APT 7201
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-8588
Mailing Address - Country:US
Mailing Address - Phone:214-694-8520
Mailing Address - Fax:
Practice Address - Street 1:500 RICHLAND BLVD
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-7275
Practice Address - Country:US
Practice Address - Phone:972-347-4967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69554183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist