Provider Demographics
NPI:1811339112
Name:SALAAM PHARMACY INC.
Entity type:Organization
Organization Name:SALAAM PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUJJAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:HUQ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-484-8157
Mailing Address - Street 1:155 CRYSTAL ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-2624
Mailing Address - Country:US
Mailing Address - Phone:718-484-8157
Mailing Address - Fax:718-484-8158
Practice Address - Street 1:155 CRYSTAL ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-2624
Practice Address - Country:US
Practice Address - Phone:718-484-8157
Practice Address - Fax:718-484-8158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-27
Last Update Date:2013-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy