Provider Demographics
NPI:1104230176
Name:SOLEO HEALTH INC.
Entity type:Organization
Organization Name:SOLEO HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:WALK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-765-3648
Mailing Address - Street 1:2801 NETWORK BLVD STE 505
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1895
Mailing Address - Country:US
Mailing Address - Phone:603-324-2978
Mailing Address - Fax:603-718-3824
Practice Address - Street 1:415 S 48TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2357
Practice Address - Country:US
Practice Address - Phone:480-296-0222
Practice Address - Fax:480-264-0495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZY005972332B00000X, 333600000X, 3336C0003X, 3336S0011X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ7129970006Medicare NSC