Provider Demographics
NPI:1407682891
Name:SALEM, NOURAN (PHARMD)
Entity type:Individual
Prefix:
First Name:NOURAN
Middle Name:
Last Name:SALEM
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 1:28114 REBECCA MEADOW FALL LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1988
Mailing Address - Country:US
Mailing Address - Phone:346-660-0282
Mailing Address - Fax:
Practice Address - Street 1:28114 REBECCA MEADOW FALL LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1988
Practice Address - Country:US
Practice Address - Phone:346-660-0282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73396183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist