Organization
SOLARA MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
2084 OTAY LAKES RD STE 102, CHULA VISTA, CA 91913-1368
(619) 600-3276
(619) 600-3273
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
04/13/2026
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