| NPI | 1003113952 |
|---|---|
| Doing Business As | PRO HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GRIGORIY KANDKHOROV Pharmacist 718-507-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030629) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-05-26 |