Prohealth Pharmacy

LBN: Prohealth Pharmacy Inc
Prohealth Pharmacy is an health care organization with primary practice located at 280 N Pointe Blvd , Mount Airy NC 27030-2267. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Prohealth Pharmacy Inc can be contacted via phone (336) 719-6010, or through Gardner, Donald via phone (336) 719-6006.

Contact Information

Primary practice address
280 N Pointe Blvd Mount Airy NC 27030-2267
Phone: (336) 719-6010
Fax: (336) 719-6011
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Donald PHARMD
Phone: (336) 719-6006

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 11144 North Carolina

Profile Details

NPI number 1124396593
LBN Legal business name Prohealth Pharmacy Inc
DBA Doing business as Prohealth Pharmacy
Authorized official Gardner, Donald PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2011
Last updated Jan 12th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124396593 NPPES
Other 2133083 PK

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