Healthcare Provider Details

I. General information

NPI: 1558765628
Provider Name (Legal Business Name): SOLANO PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2172 SOLANO WAY
CONCORD CA
94520-4700
US

IV. Provider business mailing address

2172 SOLANO WAY
CONCORD CA
94520-4700
US

V. Phone/Fax

Practice location:
  • Phone: 925-332-5141
  • Fax: 925-332-5143
Mailing address:
  • Phone: 925-332-5141
  • Fax: 925-332-5143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NKECHI CAROLINE ONUOHA
Title or Position: PHARMACIST-IN-CHARGE
Credential: RPH
Phone: 925-984-4168