Provider Demographics
NPI:1033803697
Name:JAWARA, SALIMATOU (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:SALIMATOU
Middle Name:
Last Name:JAWARA
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 1:1900 ARCH ST APT 519
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1535
Mailing Address - Country:US
Mailing Address - Phone:603-727-9281
Mailing Address - Fax:
Practice Address - Street 1:1717 N 12TH ST UNIT F
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-2585
Practice Address - Country:US
Practice Address - Phone:215-235-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist