Provider Demographics
NPI:1104176577
Name:SALIB, CHRISTINE (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SALIB
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 GRAND WAILEA DR
Mailing Address - Street 2:APT 334
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-8152
Mailing Address - Country:US
Mailing Address - Phone:910-339-0325
Mailing Address - Fax:
Practice Address - Street 1:441 GRAND WAILEA DR
Practice Address - Street 2:APT 334
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-8152
Practice Address - Country:US
Practice Address - Phone:910-339-0325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC22865OtherPHARMACIST LICENSE