Healthcare Provider Details

I. General information

NPI: 1891672002
Provider Name (Legal Business Name): KEROLESE E SALEH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 W MARKET ST
AKRON OH
44303-1837
US

IV. Provider business mailing address

21187 MORRIS DR
STRONGSVILLE OH
44149-4825
US

V. Phone/Fax

Practice location:
  • Phone: 330-785-2054
  • Fax: 330-564-9974
Mailing address:
  • Phone: 330-785-2054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number573438
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: