Provider Demographics
NPI:1265534002
Name:SALIM, INC
Entity type:Organization
Organization Name:SALIM, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMUR
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSUFOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-660-8757
Mailing Address - Street 1:1116 REISTERSTOWN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4155
Mailing Address - Country:US
Mailing Address - Phone:443-660-8757
Mailing Address - Fax:443-379-0073
Practice Address - Street 1:1116 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4101
Practice Address - Country:US
Practice Address - Phone:410-653-6061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 333600000X
MDP019473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Yes251E00000XAgenciesHome Health
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD200007500Medicaid
MD690402500Medicaid
2124814OtherOTHER ID NUMBER
MD200007500Medicaid