Organization
PROHEALTH PHARMACY INC
Active
Other names
PROHEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX NOSKOV (PRESIDENT)
(212) 684-8300
Entity
Organization
Contact information
Practice address
385 2ND AVE, NEW YORK, NY 10010-4617
(212) 684-8300
(212) 684-3282
Mailing address
385 2ND AVE, NEW YORK, NY 10010-4617
(212) 684-8300
(212) 684-3282
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01994623
—
NY
05
—
02247836
—
NY
01
—
2059691
PK
—
Enumeration date
09/20/2006
Last updated
04/07/2014
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