Provider Demographics
NPI:1285068833
Name:SOLOMON, PETER JOSEPH (RPH)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:JOSEPH
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2114
Mailing Address - Country:US
Mailing Address - Phone:401-596-0277
Mailing Address - Fax:401-596-5461
Practice Address - Street 1:106 MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2114
Practice Address - Country:US
Practice Address - Phone:401-596-0277
Practice Address - Fax:401-596-5461
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI3161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist