Individual
JOSEPH A SALEM SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
CVS PHARMACY, 212 WEST BAGLEY RD, BEREA, OH 44017
(440) 243-6676
Mailing address
264 SHERI DR, BRUNSWICK, OH 44212-1622
(216) 406-7754
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
0213907
OH
1835P2201X
Ambulatory Care Pharmacist
13907
OH
225100000X
Physical Therapist
13907
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191975
—
OH
Enumeration date
11/23/2022
Last updated
11/23/2022
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