MEDICARE: IMAN SALIM PHARMD

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	051300998	IL
2	183500000X	Pharmacist	S023288	AZ

General Provider Information

NPI Number	:	1275001687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IMAN SALIM PHARMD

Provider Business Mailing Address
First Line	:	7000 N 16TH ST STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5525
Country	:	US
Telephone Number	:	602-943-3192
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 N 16TH ST STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5525
Country	:	US
Telephone Number	:	602-943-3192
Fax Number	:

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

Provider Enumeration Date	:	11/05/2018
Last Update Date	:	07/29/2021

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Directions to “ IMAN SALIM PHARMD” Practice Location

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