Healthcare Provider Details

I. General information

NPI: 1427533918
Provider Name (Legal Business Name): JOHN ANTHONY SOLOMON JR. R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2018
Last Update Date: 10/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 NICKMAN PLZ
LEMONT FURNACE PA
15456-9732
US

IV. Provider business mailing address

3 NICKMAN PLZ
LEMONT FURNACE PA
15456-9732
US

V. Phone/Fax

Practice location:
  • Phone: 724-437-1179
  • Fax: 724-437-8303
Mailing address:
  • Phone: 724-437-1179
  • Fax: 724-437-8303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP037680L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: