Provider Demographics
NPI:1346569357
Name:CHALOM, SOL (RPH)
Entity type:Individual
Prefix:MR
First Name:SOL
Middle Name:
Last Name:CHALOM
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 1:13870 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2924
Mailing Address - Country:US
Mailing Address - Phone:301-871-6400
Mailing Address - Fax:301-460-0145
Practice Address - Street 1:13870 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2924
Practice Address - Country:US
Practice Address - Phone:301-871-6400
Practice Address - Fax:301-460-0145
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist