Provider Demographics
NPI:1780182543
Name:SALAMA, SHERIF SOBHY ABDALLA
Entity Type:Individual
Prefix:
First Name:SHERIF
Middle Name:SOBHY ABDALLA
Last Name:SALAMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37435 MAIN ST.
Mailing Address - Street 2:RITEAID #6101
Mailing Address - City:BURNEY
Mailing Address - State:CA
Mailing Address - Zip Code:96013
Mailing Address - Country:US
Mailing Address - Phone:530-335-4860
Mailing Address - Fax:
Practice Address - Street 1:37435 MAIN ST.
Practice Address - Street 2:RITEAID #6101
Practice Address - City:BURNEY
Practice Address - State:CA
Practice Address - Zip Code:96013
Practice Address - Country:US
Practice Address - Phone:530-335-4860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist