Provider Demographics
NPI:1316246887
Name:ISOLIO, SOLOMON ALIGULA
Entity type:Individual
Prefix:
First Name:SOLOMON
Middle Name:ALIGULA
Last Name:ISOLIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 S SCHUMAKER DR
Mailing Address - Street 2:APT 302
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-3021
Mailing Address - Country:US
Mailing Address - Phone:443-944-3043
Mailing Address - Fax:
Practice Address - Street 1:11401 COASTAL HWY
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842-7537
Practice Address - Country:US
Practice Address - Phone:410-524-3700
Practice Address - Fax:410-524-5745
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist