Provider Demographics
NPI:1679890586
Name:SOLIZ, ROXANN BOLLICH (RPH)
Entity type:Individual
Prefix:
First Name:ROXANN
Middle Name:BOLLICH
Last Name:SOLIZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 ASOMBRA LN
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-1695
Mailing Address - Country:US
Mailing Address - Phone:512-697-9768
Mailing Address - Fax:512-238-0661
Practice Address - Street 1:16900 RR 620
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-3922
Practice Address - Country:US
Practice Address - Phone:512-238-7905
Practice Address - Fax:512-238-0661
Is Sole Proprietor?:No
Enumeration Date:2010-05-02
Last Update Date:2010-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33297183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist