Provider Demographics
NPI:1760278543
Name:PROHEALTH PHARMACY CORP
Entity type:Organization
Organization Name:PROHEALTH PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GOPAL
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHHIBBA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:302-220-3807
Mailing Address - Street 1:7400 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19153-1415
Mailing Address - Country:US
Mailing Address - Phone:215-492-5445
Mailing Address - Fax:215-754-0971
Practice Address - Street 1:7400 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-1415
Practice Address - Country:US
Practice Address - Phone:215-492-5445
Practice Address - Fax:215-754-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy