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NPI Code Detail

MEDICARE: AMY LYNN SOLOMON RPH

MEDICARE: AMY LYNN SOLOMON RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist23746MA

General Provider Information

NPI Number : 1063793263
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LYNN SOLOMON RPH
Provider Business Mailing Address
First Line : 1103 KEMPTON ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02740-1530
Country : US
Telephone Number : 508-643-2007
Fax Number : 508-990-7780
Provider Business Practice Location Address
First Line : 1103 KEMPTON ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02740-1530
Country : US
Telephone Number : 508-643-2007
Fax Number : 508-990-7780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2011
Last Update Date : 08/31/2011

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Directions to “ AMY LYNN SOLOMON RPH” Practice Location

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