Healthcare Provider Details

I. General information

NPI: 1376863985
Provider Name (Legal Business Name): SAMWAEIL SOLIMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2010
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 W CHANNEL ISLANDS BLVD
OXNARD CA
93033-4203
US

IV. Provider business mailing address

3241 BUTTERCUP LN
CAMARILLO CA
93012-7787
US

V. Phone/Fax

Practice location:
  • Phone: 805-366-3664
  • Fax: 805-366-3635
Mailing address:
  • Phone: 805-484-4830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62256
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: