Provider Demographics
NPI:1962015313
Name:SALIM, TAUSEEF (PHARMD)
Entity Type:Individual
Prefix:
First Name:TAUSEEF
Middle Name:
Last Name:SALIM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6405 FAYETTEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8713
Mailing Address - Country:US
Mailing Address - Phone:918-633-7429
Mailing Address - Fax:919-544-6395
Practice Address - Street 1:6405 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8713
Practice Address - Country:US
Practice Address - Phone:918-633-7429
Practice Address - Fax:919-544-6395
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29376183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist