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NPI Code Detail

MEDICARE: SOLOMON TESFAYE GOJI

MEDICARE: SOLOMON TESFAYE GOJI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS39799FL

General Provider Information

NPI Number : 1093302796
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOLOMON TESFAYE GOJI
Provider Business Mailing Address
First Line : 9315 WHISPER GLEN DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32222-2537
Country : US
Telephone Number : 904-535-8497
Fax Number :
Provider Business Practice Location Address
First Line : 9700 ARGYLE FOREST BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32222-2809
Country : US
Telephone Number : 904-778-0871
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 12/29/2020

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Directions to “ SOLOMON TESFAYE GOJI ” Practice Location

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