George Thomas Illiano
Pharmacist in Gulf Shores, AL. Individual provider (NPI-1).
NPI number1982178422
StatusActive
Last updated in NPPESAug 12, 2021
Details
- NPI
- 1982178422
- Entity type
- Individual (NPI-1)
- Name
- George Thomas Illiano
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2019
- Certification date
- Aug 12, 2021
- Last updated
- Aug 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 22071 | AL | Yes |
Practice location
160 Cotton Creek Dr Ste 100Gulf Shores, AL 36542-2850
Phone 251-327-8280
Mailing address
120 Augusta CtFairhope, AL 36532-6352
Phone 251-327-8280
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All 22 Pharmacist providers in Gulf Shores · All 263 providers in Gulf Shores
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