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NPI Code Detail

MEDICARE: ALLEN SOLOMON

MEDICARE:   ALLEN  SOLOMON
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
1183500000XPharmacistRP033370LPA

General Provider Information

NPI Number : 1073770301
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN SOLOMON
Provider Business Mailing Address
First Line : 1535 CHESTNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-2501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1535 CHESTNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-2501
Country : US
Telephone Number : 215-564-2790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2008
Last Update Date : 05/22/2008

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Directions to “ ALLEN SOLOMON ” Practice Location

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