Healthcare Provider Details

I. General information

NPI: 1902332638
Provider Name (Legal Business Name): SOHIER ABDULSALAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19471 LAKE DR
TRIMBLE OH
45782-2508
US

IV. Provider business mailing address

1735 PUMP STATION RD
SUGAR GROVE OH
43155-9709
US

V. Phone/Fax

Practice location:
  • Phone: 740-767-3851
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03227738
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: