Provider Demographics
NPI:1972072627
Name:SALEM, MAGGIE E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MAGGIE
Middle Name:E
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 1:614 HIGH PLAIN DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-5236
Mailing Address - Country:US
Mailing Address - Phone:410-638-7690
Mailing Address - Fax:
Practice Address - Street 1:550 W MACPHAIL RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4357
Practice Address - Country:US
Practice Address - Phone:410-638-5804
Practice Address - Fax:410-638-5806
Is Sole Proprietor?:No
Enumeration Date:2018-11-23
Last Update Date:2018-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17917183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist