Provider Demographics
NPI:1134414758
Name:ANIK, SALIM A (RPH)
Entity type:Individual
Prefix:
First Name:SALIM
Middle Name:A
Last Name:ANIK
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 1:2600 W PLEASANT RUN RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1114
Mailing Address - Country:US
Mailing Address - Phone:467-297-5365
Mailing Address - Fax:469-458-2792
Practice Address - Street 1:2600 W PLEASANT RUN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1114
Practice Address - Country:US
Practice Address - Phone:469-297-5365
Practice Address - Fax:469-458-2792
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-11
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051446-1183500000X
TX56467183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist