MEDICARE: SAMIR SALMAN

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	03223509	OH

General Provider Information

NPI Number	:	1427563766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMIR SALMAN

Provider Business Mailing Address
First Line	:	6235 MONROE ST
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-1427
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6235 MONROE ST
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-1427
Country	:	US
Telephone Number	:	419-885-4738
Fax Number	:

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

Provider Enumeration Date	:	12/08/2017
Last Update Date	:	06/16/2018

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Directions to “ SAMIR SALMAN ” Practice Location

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