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Organization
WOODSIDE HEALTH SERVICES LLC
Active
Organization
WOODSIDE HEALTH SERVICES LLC
Active
Other names
WOODSIDE LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED REFAAT AHMED SALEH PHARM.D. (OWNER/MANAGER)
(219) 286-3091
Entity
Organization
Contact information
Practice address
1551 STURDY RD, VALPARAISO, IN 46383-7883
(219) 286-3091
(219) 510-5268
Mailing address
1551 STURDY RD, VALPARAISO, IN 46383-7883
(219) 286-3091
(219) 510-5268
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
08/19/2022
Last updated
08/22/2022
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