Provider Demographics
NPI:1932533775
Name:SALEM, MOHAMAD H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMAD
Middle Name:H
Last Name:SALEM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 EAST DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3416
Mailing Address - Country:US
Mailing Address - Phone:251-287-6667
Mailing Address - Fax:
Practice Address - Street 1:19 EAST DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3416
Practice Address - Country:US
Practice Address - Phone:251-287-6667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist