Provider Demographics
NPI:1356635353
Name:SALABA, JAMES K (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:K
Last Name:SALABA
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 1:1106 N COLUMBIA CENTER BLVD
Mailing Address - Street 2:T-0830
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1161
Mailing Address - Country:US
Mailing Address - Phone:509-737-1700
Mailing Address - Fax:509-737-1700
Practice Address - Street 1:1106 N COLUMBIA CENTER BLVD
Practice Address - Street 2:T-0830
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1161
Practice Address - Country:US
Practice Address - Phone:509-737-1700
Practice Address - Fax:509-737-1700
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA20790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist