Healthcare Provider Details

I. General information

NPI: 1437822673
Provider Name (Legal Business Name): SALAH DAANA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2021
Last Update Date: 07/25/2021
Certification Date: 07/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7259 PEARL RD
MIDDLEBURG HEIGHTS OH
44130-4806
US

IV. Provider business mailing address

18600 RUSTIC HOLW
STRONGSVILLE OH
44136-7155
US

V. Phone/Fax

Practice location:
  • Phone: 704-502-3570
  • Fax:
Mailing address:
  • Phone: 704-502-3570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number061000059
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: