# PROHEALTH PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326340746
- **Authorized official:** MR. STEPHEN PAUL SCHMIDT CPA (CFO)
- **Authorized official phone:** (815) 387-5642

## Contact information

- **Practice address:** 1021 N MULFORD RD, ROCKFORD, IL 61107-3877
- **Practice address phone:** (815) 387-5642
- **Practice address fax:** (815) 316-4638
- **Mailing address:** 1021 N MULFORD RD, ROCKFORD, IL 61107-3877
- **Mailing address phone:** (815) 387-5642
- **Mailing address fax:** (815) 316-4638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2010
- **Last updated:** 11/18/2010