Provider Demographics
NPI:1508270646
Name:USMANI, SALMA BANO (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:SALMA
Middle Name:BANO
Last Name:USMANI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-1819
Mailing Address - Country:US
Mailing Address - Phone:609-858-7560
Mailing Address - Fax:732-370-6519
Practice Address - Street 1:521 S BROAD ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-1819
Practice Address - Country:US
Practice Address - Phone:609-858-7560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03632700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist