| NPI | 1518268408 |
|---|---|
| Doing Business As | PROHEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BUKOLA AJIBADE Pharmacy Manager 410-488-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 16250) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD 16250) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MD 16250) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2022-03-15 |