Healthcare Provider Details

I. General information

NPI: 1346516424
Provider Name (Legal Business Name): SOLIMAN-GIRGIS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2012
Last Update Date: 03/12/2020
Certification Date: 03/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 W NUEVO RD STE H
PERRIS CA
92571-0801
US

IV. Provider business mailing address

75 W NUEVO RD STE H
PERRIS CA
92571-0801
US

V. Phone/Fax

Practice location:
  • Phone: 951-322-4700
  • Fax: 951-943-4645
Mailing address:
  • Phone: 951-322-4700
  • Fax: 951-943-4645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50826
License Number StateCA

VIII. Authorized Official

Name: MICHALE SOLIMAN
Title or Position: OWNER
Credential:
Phone: 951-322-4700