Provider Demographics
NPI:1891068805
Name:RIAZ, SALMAN (RPH)
Entity Type:Individual
Prefix:
First Name:SALMAN
Middle Name:
Last Name:RIAZ
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 1:555 W 52ND ST
Mailing Address - Street 2:APT 703
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5036
Mailing Address - Country:US
Mailing Address - Phone:646-942-0621
Mailing Address - Fax:
Practice Address - Street 1:555 W 52ND ST
Practice Address - Street 2:APT 703
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5036
Practice Address - Country:US
Practice Address - Phone:646-942-0621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03476400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist