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
—
—
Other
Enumeration date
08/19/2022
Last updated
08/22/2022
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