Provider Demographics
NPI:1770711475
Name:SALUS, ADAM M
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:M
Last Name:SALUS
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 1:3256 NW 84TH AVE
Mailing Address - Street 2:APT 515
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-8949
Mailing Address - Country:US
Mailing Address - Phone:954-607-9874
Mailing Address - Fax:
Practice Address - Street 1:3256 NW 84TH AVE
Practice Address - Street 2:APT 515
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-8949
Practice Address - Country:US
Practice Address - Phone:954-607-9874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician