Provider Demographics
NPI:1962786913
Name:SALIBA, MAGALIE SALOMON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MAGALIE
Middle Name:SALOMON
Last Name:SALIBA
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 1:16135 NW 78TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6686
Mailing Address - Country:US
Mailing Address - Phone:305-778-0697
Mailing Address - Fax:
Practice Address - Street 1:3595 SW 22ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3012
Practice Address - Country:US
Practice Address - Phone:305-444-8427
Practice Address - Fax:305-444-8962
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30732183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist