Organization
SOLARA MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
38023 SCHOOLCRAFT RD, LIVONIA, MI 48150-1065
(855) 888-2810
(800) 999-2514
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
(610) 630-6357
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168658
PK
—
Enumeration date
03/27/2017
Last updated
04/28/2021
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