Provider Demographics
NPI:1174225890
Name:SOLOMON, NATALIE ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ANN
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:ANN
Other - Last Name:EVERETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:11826 W ALFRED ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-1756
Mailing Address - Country:US
Mailing Address - Phone:570-710-3651
Mailing Address - Fax:
Practice Address - Street 1:4949 S HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-7586
Practice Address - Country:US
Practice Address - Phone:208-706-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP10712183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist