Healthcare Provider Details

I. General information

NPI: 1710228085
Provider Name (Legal Business Name): SOLERA SPECIALTY PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2013
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 PARK CENTRAL BLVD N STE 300
POMPANO BEACH FL
33064-2219
US

IV. Provider business mailing address

2100 PARK CENTRAL BLVD N STE 300
POMPANO BEACH FL
33064-2219
US

V. Phone/Fax

Practice location:
  • Phone: 954-615-1840
  • Fax: 954-634-3939
Mailing address:
  • Phone: 954-615-1840
  • Fax: 954-634-3939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. NICHOLAS MATTHEW SARANITI
Title or Position: CEO
Credential:
Phone: 954-615-1840