Provider Demographics
NPI:1811504111
Name:SALEM, DUNNYA J (PHARMD)
Entity type:Individual
Prefix:
First Name:DUNNYA
Middle Name:J
Last Name:SALEM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1537 SWAN CT
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7792
Mailing Address - Country:US
Mailing Address - Phone:504-275-0319
Mailing Address - Fax:
Practice Address - Street 1:1731 MANHATTAN BLVD
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3409
Practice Address - Country:US
Practice Address - Phone:504-364-1659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.023541183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist