Provider Demographics
NPI:1306139605
Name:SALIB, SALWA (RPH)
Entity type:Individual
Prefix:MRS
First Name:SALWA
Middle Name:
Last Name:SALIB
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 1:537 BRIGHTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1635
Mailing Address - Country:US
Mailing Address - Phone:443-310-1441
Mailing Address - Fax:
Practice Address - Street 1:537 BRIGHTVIEW DR
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1635
Practice Address - Country:US
Practice Address - Phone:443-310-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist