Provider Demographics
NPI:1740580554
Name:SALAMEH, JAWAN TINA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JAWAN
Middle Name:TINA
Last Name:SALAMEH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 LA PLAYA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-3219
Mailing Address - Country:US
Mailing Address - Phone:415-387-0481
Mailing Address - Fax:415-387-0932
Practice Address - Street 1:850 LA PLAYA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-3219
Practice Address - Country:US
Practice Address - Phone:415-387-0481
Practice Address - Fax:415-387-0932
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist