Organization
SALAAM HEALTH PLLC
Active
Organization
SALAAM HEALTH PLLC
Active
Other names
OTHELLO STATION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRAHMAN TACHE (PHARMD)
(253) 269-8871
Entity
Organization
Contact information
Practice address
4219 S OTHELLO ST STE 105-F, SEATTLE, WA 98118-3892
(253) 269-8871
(206) 769-5543
Mailing address
4219 S OTHELLO ST STE 105-F, SEATTLE, WA 98118-3892
(253) 269-8871
(206) 769-5543
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175824
PK
—
Enumeration date
12/13/2017
Last updated
04/17/2018
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