MEDICARE: SUSAN MARIE SALANIK RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH00019858	WA
2	183500000X	Pharmacist	RPH- 0009223	OR

General Provider Information

NPI Number	:	1043583768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN MARIE SALANIK RPH

Provider Business Mailing Address
First Line	:	1121 NW 88TH ST
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98665-6925
Country	:	US
Telephone Number	:	360-414-9602
Fax Number	:	360-414-9621

Provider Business Practice Location Address
First Line	:	540 7TH AVE
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-1605
Country	:	US
Telephone Number	:	360-414-9602
Fax Number	:	360-414-9621

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2012
Last Update Date	:	06/07/2026

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Directions to “ SUSAN MARIE SALANIK RPH” Practice Location

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