Provider Demographics
NPI:1235605288
Name:SALAMA, CHRISTINE
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SALAMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5621 ATLANTIC AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-7581
Mailing Address - Country:US
Mailing Address - Phone:919-891-9555
Mailing Address - Fax:919-999-2832
Practice Address - Street 1:5621 ATLANTIC AVE STE 103
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-7581
Practice Address - Country:US
Practice Address - Phone:919-891-9555
Practice Address - Fax:919-999-2832
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist