Provider Demographics
NPI:1750661385
Name:SALIB, CAROLINE R (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:R
Last Name:SALIB
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 1:4715 HODGES BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-2216
Mailing Address - Country:US
Mailing Address - Phone:904-992-4643
Mailing Address - Fax:
Practice Address - Street 1:4715 HODGES BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-2216
Practice Address - Country:US
Practice Address - Phone:904-992-4643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist