Provider Demographics
NPI:1699474064
Name:SOLORIO, IRENE FRANCES ANDRADA (RPH)
Entity type:Individual
Prefix:DR
First Name:IRENE FRANCES
Middle Name:ANDRADA
Last Name:SOLORIO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:IRENE FRANCES
Other - Middle Name:QUE
Other - Last Name:ANDRADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:4433 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-1849
Mailing Address - Country:US
Mailing Address - Phone:408-218-3690
Mailing Address - Fax:
Practice Address - Street 1:4433 SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219-1849
Practice Address - Country:US
Practice Address - Phone:408-218-3690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA733821835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric