Provider Demographics
NPI:1578887766
Name:SALIM, BILAL (RPH)
Entity Type:Individual
Prefix:MR
First Name:BILAL
Middle Name:
Last Name:SALIM
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 1:8882 LINDEN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-8927
Mailing Address - Country:US
Mailing Address - Phone:419-865-7777
Mailing Address - Fax:
Practice Address - Street 1:909 S MCCORD RD STE 1
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-8370
Practice Address - Country:US
Practice Address - Phone:419-865-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302032449183500000X
OH03122832183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist