Provider Demographics
NPI:1285223735
Name:SALEONE PHARMACY LLC
Entity Type:Organization
Organization Name:SALEONE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSARAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-516-8837
Mailing Address - Street 1:8085 ORANGE STATION LOOP
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-7288
Mailing Address - Country:US
Mailing Address - Phone:614-516-8837
Mailing Address - Fax:
Practice Address - Street 1:6078 HUNTLEY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1002
Practice Address - Country:US
Practice Address - Phone:614-516-8837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy