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Dale Airola, RPH

Pharmacist in Lockport, IL. Individual provider (NPI-1).

NPI number1508312166
StatusActive
Last updated in NPPESSep 1, 2016

Details

NPI
1508312166
Entity type
Individual (NPI-1)
Name
Dale Airola
Credential
RPH
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 1, 2016
Last updated
Sep 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051029129ILYes

Practice location

17033 Burton Ave
Lockport, IL 60441-4607

Phone 708-285-3253

Mailing address

17033 Burton Ave
Lockport, IL 60441-4607

Phone 708-285-3253

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