Healthcare Provider Details

I. General information

NPI: 1639261985
Provider Name (Legal Business Name): NEAL H SOLOMON PHARMD, R.PH., MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 01/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 HOMESTEADS RD
PLACITAS NM
87043-9229
US

IV. Provider business mailing address

91 HOMESTEADS RD
PLACITAS NM
87043-9229
US

V. Phone/Fax

Practice location:
  • Phone: 505-771-0686
  • Fax:
Mailing address:
  • Phone: 505-771-0686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00005626
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number030068
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: