Provider Demographics
NPI:1548988132
Name:SALMAN, BASMA (RPH)
Entity type:Individual
Prefix:
First Name:BASMA
Middle Name:
Last Name:SALMAN
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 1:10340 WARNER AVE APT B4
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-1614
Mailing Address - Country:US
Mailing Address - Phone:281-771-9660
Mailing Address - Fax:
Practice Address - Street 1:10340 WARNER AVE APT B4
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-1614
Practice Address - Country:US
Practice Address - Phone:281-771-9660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH86219183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist