Provider Demographics
NPI:1386087195
Name:CARTER, SALADIN (RPH)
Entity type:Individual
Prefix:MR
First Name:SALADIN
Middle Name:
Last Name:CARTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-4601
Mailing Address - Country:US
Mailing Address - Phone:765-457-3676
Mailing Address - Fax:765-452-8294
Practice Address - Street 1:107 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-4601
Practice Address - Country:US
Practice Address - Phone:765-457-3676
Practice Address - Fax:765-452-8294
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017586A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist