Healthcare Provider Details

I. General information

NPI: 1821949488
Provider Name (Legal Business Name): SALUD PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4255 W 63RD ST STE 300
CHICAGO IL
60629-5041
US

IV. Provider business mailing address

4255 W 63RD ST STE 300
CHICAGO IL
60629-5041
US

V. Phone/Fax

Practice location:
  • Phone: 773-424-4271
  • Fax:
Mailing address:
  • Phone: 773-424-4271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROWA M MUSTAFA ALFAHAL
Title or Position: MANAGER
Credential: PIC
Phone: 773-691-0890