Healthcare Provider Details

I. General information

NPI: 1619032976
Provider Name (Legal Business Name): SALFITI CANTON PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S BUFFALO STREET
CANTON TX
75103
US

IV. Provider business mailing address

300 S BUFFALO STREET
CANTON TX
75103
US

V. Phone/Fax

Practice location:
  • Phone: 903-567-4129
  • Fax: 903-567-6772
Mailing address:
  • Phone: 903-567-4129
  • Fax: 903-567-6772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number32122
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1827
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number32122
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RAJA I SALFITI
Title or Position: PRESIDENT
Credential: RPH
Phone: 817-532-6112