# SOLARIS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Solaris Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093108805
- **Authorized official:** JESSE HART (CFO/OFFICER)
- **Authorized official phone:** (940) 627-1011

## Contact information

- **Practice address:** 91 BARNETT SHALE, BRIDGEPORT, TX 76426-2266
- **Practice address phone:** (940) 208-1638
- **Practice address fax:** (940) 233-1093
- **Mailing address:** 91 BARNETT SHALE, BRIDGEPORT, TX 76426-2266
- **Mailing address phone:** (940) 208-1638
- **Mailing address fax:** (940) 233-1093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 25715 | TX | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | 25715 | TX | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/18/2015
- **Last updated:** 02/28/2024
