| NPI | 1639897085 |
|---|---|
| Doing Business As | WOODSIDE LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOHAMED REFAAT AHMED SALEH Owner/Manager 219-286-3091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-22 |