| NPI | 1154914067 |
|---|---|
| Doing Business As | WOODSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOHAMED REFAAT AHMED SALEH Pharmacy Director 574-261-9419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-12-27 |