Healthcare Provider Details
I. General information
NPI: 1558289918
Provider Name (Legal Business Name): NOLAN KENT SOLOMON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8350 S RIVER PKWY
TEMPE AZ
85284-2615
US
IV. Provider business mailing address
8350 S RIVER PKWY
TEMPE AZ
85284-2615
US
V. Phone/Fax
- Phone: 800-345-1036
- Fax: 800-332-9581
- Phone: 800-345-1036
- Fax: 800-332-9581
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | S011204 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: