Provider Demographics
NPI:1780912154
Name:SOLAKIAN, JANE ELIZABETH (BA /BS PHARMACY)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ELIZABETH
Last Name:SOLAKIAN
Suffix:
Gender:F
Credentials:BA /BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 SECOND STREET
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024
Mailing Address - Country:US
Mailing Address - Phone:201-585-0931
Mailing Address - Fax:
Practice Address - Street 1:2410 2ND ST
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4004
Practice Address - Country:US
Practice Address - Phone:201-585-0931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038568-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist