Mina Soliman

Individual provider Active NPI Pharmacist · Elwood, IN

NPI 1154045268 · NPPES record last updated Oct 3, 2022

Key facts

NPI
1154045268
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
26029899A (IN)
Practice address
100 N Anderson St
Elwood, IN 46036-1541
Phone
(765) 552-9565
NPI assigned
Oct 3, 2022
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

State licenses

LicenseStateTypeSpecialty
26029899AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hook-Superx LLC Past
since Oct 9, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26029899A IN Yes

Addresses

Primary practice location

100 N Anderson St
Elwood, IN 46036-1541

Mailing address

100 N Anderson St
Elwood, IN 46036-1541
Phone (765) 552-9565

Other providers in Elwood, IN

All providers in Elwood, IN · Pharmacist in Indiana

Sources for this page

Verify at the official NPI Registry.