Organization
SOLISA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIAH DYAL-GUALBANCE (OWNER)
(516) 960-5201
Entity
Organization
Contact information
Practice address
5624 MERRICK RD, MASSAPEQUA, NY 11758-6217
(516) 960-5201
Mailing address
5624 MERRICK RD, MASSAPEQUA, NY 11758-6217
(516) 960-5201
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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