Provider Demographics
NPI:1497336929
Name:SALEH, NASSEEM MARSHALL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NASSEEM
Middle Name:MARSHALL
Last Name:SALEH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 NORBORNE AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3760
Mailing Address - Country:US
Mailing Address - Phone:313-530-3383
Mailing Address - Fax:
Practice Address - Street 1:3456 W VERNOR HWY STE B
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48216-1551
Practice Address - Country:US
Practice Address - Phone:313-789-8934
Practice Address - Fax:313-908-1069
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist