Organization
WOODSIDE HEALTH SERVICES LLC
Active
Other names
WOODSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED REFAAT AHMED SALEH PHARM.D. (PHARMACY DIRECTOR)
(574) 261-9419
Entity
Organization
Contact information
Practice address
1551 STURDY RD, VALPARAISO, IN 46383-7883
(574) 261-9419
Mailing address
1551 STURDY RD, VALPARAISO, IN 46383-7883
(219) 286-3091
(219) 510-5268
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
02/11/2021
Last updated
12/27/2021
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