| NPI | 1073528675 |
|---|---|
| Doing Business As | PROHEALTH PHARMACY - WAUKESHA |
| Entity Type | Organization |
| Authorized Contact | THOMAS W JOHNSON Reimbursement Manager 262-928-4704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 669442) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2022-12-14 |