Provider Demographics
NPI:1235400771
Name:SALEH, MAREHAM (PHARMD)
Entity Type:Individual
Prefix:
First Name:MAREHAM
Middle Name:
Last Name:SALEH
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 1:805 PINEWOOD TER W
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-2929
Mailing Address - Country:US
Mailing Address - Phone:727-481-5101
Mailing Address - Fax:
Practice Address - Street 1:6818 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-5718
Practice Address - Country:US
Practice Address - Phone:813-931-3363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-14
Last Update Date:2012-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46756183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist