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NPI Code Detail

MEDICARE: SALUD PHARMACY INC.

MEDICARE: SALUD PHARMACY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1821949488
Entity Type Code : Organization
Provider Name (Legal Business Name) : SALUD PHARMACY INC.
Provider Business Mailing Address
First Line : 4255 W 63RD ST STE 300
Second Line :
City : CHICAGO
State : IL
Zip : 60629-5041
Country : US
Telephone Number : 773-424-4271
Fax Number :
Provider Business Practice Location Address
First Line : 4255 W 63RD ST STE 300
Second Line :
City : CHICAGO
State : IL
Zip : 60629-5041
Country : US
Telephone Number : 773-424-4271
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : ROWA M MUSTAFA ALFAHAL
Credential : PIC
Telephone Number : 773-691-0890
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “SALUD PHARMACY INC. ” Practice Location

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