Individual
IRFAN T SALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3630 S 18TH ST, LAFAYETTE, IN 47909-9102
(765) 474-3834
Mailing address
3630 S 18TH ST, LAFAYETTE, IN 47909-9102
(765) 474-3834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029918A
IN
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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