Arnold Allen Soldavin, RPH

Individual provider Active NPI Pharmacist · Branchville, NJ

NPI 1003133257 · NPPES record last updated Apr 28, 2010

Key facts

NPI
1003133257
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI01478400 (NJ)
Practice address
19 Main St
Box 2219
Branchville, NJ 07826-5526
Phone
(973) 948-3170
Fax
(973) 948-4747
NPI assigned
Apr 28, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01478400NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
A Z Medical Systems Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01478400 NJ Yes

Addresses

Primary practice location

19 Main St
Box 2219
Branchville, NJ 07826-5526

Mailing address

19 Main St
Box 2219
Branchville, NJ 07826-5526
Phone (973) 948-3170

Other providers in Branchville, NJ

All providers in Branchville, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.