Provider Demographics
NPI:1598214025
Name:SALTER, FAITH COLEMAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:COLEMAN
Last Name:SALTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:CARRIE
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:150 S LEROY ST
Mailing Address - Street 2:
Mailing Address - City:METTER
Mailing Address - State:GA
Mailing Address - Zip Code:30439-4631
Mailing Address - Country:US
Mailing Address - Phone:912-685-2803
Mailing Address - Fax:
Practice Address - Street 1:150 S LEROY ST
Practice Address - Street 2:
Practice Address - City:METTER
Practice Address - State:GA
Practice Address - Zip Code:30439-4631
Practice Address - Country:US
Practice Address - Phone:912-685-2803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist