# PROHEALTH RX LLC

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

## Provider details

- **NPI number:** 1710633037
- **Authorized official:** MR. UDAY NARAYAN MISHRA (CHIEF OFFICER)
- **Authorized official phone:** (716) 816-5955

## Contact information

- **Practice address:** 958 N WAGGONER RD, BLACKLICK, OH 43004-7911
- **Practice address phone:** (614) 369-6539
- **Mailing address:** 1061 MCCOY DR, PATASKALA, OH 43062-7103
- **Mailing address phone:** (614) 845-5151
- **Mailing address fax:** (614) 845-5152

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2022
- **Last updated:** 02/24/2022
