Provider Demographics
NPI:1053556092
Name:RAHMAN, SALMA (RPH)
Entity type:Individual
Prefix:
First Name:SALMA
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8574 PALERMO ST
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1128
Mailing Address - Country:US
Mailing Address - Phone:718-740-8338
Mailing Address - Fax:
Practice Address - Street 1:445 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-4301
Practice Address - Country:US
Practice Address - Phone:718-466-5500
Practice Address - Fax:718-466-5505
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist