Individual
VAL SOLDEVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, CFO
Contact information
Practice address
270 DELTA AVE, CLARKSDALE, MS 38614-4213
(662) 624-6591
Mailing address
270 DELTA AVE, CLARKSDALE, MS 38614-4213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6359
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01029381
—
MS
01
—
E6359
PHARMACIST LISCENSE
MS
Enumeration date
10/05/2006
Last updated
07/09/2007
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