Provider Demographics
NPI:1194053389
Name:SOLANA, CAROL EDWARDS
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:EDWARDS
Last Name:SOLANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 BRADLEY CREEK POINT RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-5709
Mailing Address - Country:US
Mailing Address - Phone:910-233-5133
Mailing Address - Fax:
Practice Address - Street 1:6861 MARKET ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-9724
Practice Address - Country:US
Practice Address - Phone:910-793-4924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7435183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist