Organization
SOLARIS PHARMACY INC
Active
Other names
Solaris Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE HART (CFO/OFFICER)
(940) 627-1011
Entity
Organization
Contact information
Practice address
91 BARNETT SHALE, BRIDGEPORT, TX 76426-2266
(940) 208-1638
(940) 233-1093
Mailing address
91 BARNETT SHALE, BRIDGEPORT, TX 76426-2266
(940) 208-1638
(940) 233-1093
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
25715
TX
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
25715
TX
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
03/18/2015
Last updated
02/28/2024
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