MEDICARE: MISS MARIA MAGNOLIA SOLORZANO PHARMACIST

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
1	183500000X	Pharmacist	PS27203	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PS27203	OTHER	FL	FLORIDA BOARD OF PHARMACY.

General Provider Information

NPI Number	:	1639345028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARIA MAGNOLIA SOLORZANO PHARMACIST

Provider Business Mailing Address
First Line	:	14780 SW 56TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4070
Country	:	US
Telephone Number	:	305-382-3000
Fax Number	:	305-382-3003

Provider Business Practice Location Address
First Line	:	14780 SW 56TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4070
Country	:	US
Telephone Number	:	305-382-3000
Fax Number	:	305-382-3003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2008
Last Update Date	:	05/05/2008

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Directions to “ MISS MARIA MAGNOLIA SOLORZANO PHARMACIST” Practice Location

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