Healthcare Provider Details

I. General information

NPI: 1770463150
Provider Name (Legal Business Name): SOLMED RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8659 NW 36TH ST
DORAL FL
33166-6621
US

IV. Provider business mailing address

8659 NW 36TH ST
DORAL FL
33166-6621
US

V. Phone/Fax

Practice location:
  • Phone: 305-631-7477
  • Fax: 305-631-5920
Mailing address:
  • Phone: 305-631-7477
  • Fax: 305-631-5920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JORGE A ACOSTA
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 305-631-4427