| NPI | 1124396593 |
|---|---|
| Doing Business As | PROHEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONALD GARDNER Owner 336-719-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 11144) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2015-01-12 |