Provider Demographics
NPI:1811554157
Name:PROHEALTH DRUGS LV INC
Entity Type:Organization
Organization Name:PROHEALTH DRUGS LV INC
Other - Org Name:PROHEALTH DRUGS LV
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:DIMPLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BHALODIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-993-3737
Mailing Address - Street 1:777 N QUENTIN RD
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-2309
Mailing Address - Country:US
Mailing Address - Phone:224-993-3737
Mailing Address - Fax:224-993-3736
Practice Address - Street 1:3021 FALLING WATERS BLVD STE A
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:IL
Practice Address - Zip Code:60046-6745
Practice Address - Country:US
Practice Address - Phone:478-457-4770
Practice Address - Fax:847-457-4771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy