Provider Demographics
NPI:1891672002
Name:SALEH, KEROLESE E
Entity type:Individual
Prefix:
First Name:KEROLESE
Middle Name:E
Last Name:SALEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21187 MORRIS DR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-4825
Mailing Address - Country:US
Mailing Address - Phone:330-785-2054
Mailing Address - Fax:
Practice Address - Street 1:527 W MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1837
Practice Address - Country:US
Practice Address - Phone:330-785-2054
Practice Address - Fax:330-564-9974
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH573438183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist