Provider Demographics
NPI:1235730193
Name:SALEH PEREIRA, HANAN ISA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HANAN
Middle Name:ISA
Last Name:SALEH PEREIRA
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 1:18250 FLOWER HILL WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-5300
Mailing Address - Country:US
Mailing Address - Phone:301-948-1198
Mailing Address - Fax:844-411-6263
Practice Address - Street 1:18250 FLOWER HILL WAY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-5300
Practice Address - Country:US
Practice Address - Phone:301-948-1198
Practice Address - Fax:844-411-6263
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16594183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist