MEDICARE: DR. ADAMS O SOLOLA PHARMD, BCPS

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
1	183500000X	Pharmacist	17118	MD
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	17118	MD

General Provider Information

NPI Number	:	1538397856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAMS O SOLOLA PHARMD, BCPS

Provider Business Mailing Address
First Line	:	PO BOX 548
Second Line	:
City	:	SELLS
State	:	AZ
Zip	:	85634-0548
Country	:	US
Telephone Number	:	520-383-7351
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MESQUITE DRIVE
Second Line	:
City	:	SELLS
State	:	AZ
Zip	:	85634-0548
Country	:	US
Telephone Number	:	520-383-7351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	01/07/2013

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