Provider Demographics
NPI:1134496730
Name:AL-RAMAHI, SALAM M (RPH)
Entity Type:Individual
Prefix:
First Name:SALAM
Middle Name:M
Last Name:AL-RAMAHI
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 1:7930 W 103RD ST APT 2W
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-1580
Mailing Address - Country:US
Mailing Address - Phone:170-866-8225
Mailing Address - Fax:
Practice Address - Street 1:833 W 115TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-4618
Practice Address - Country:US
Practice Address - Phone:170-866-8225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-27
Last Update Date:2011-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051293070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist