Provider Demographics
NPI:1174525745
Name:ORR, GAIL F (RPH)
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:F
Last Name:ORR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6530 HIGHWAY 13 W
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:IL
Mailing Address - Zip Code:62946-4142
Mailing Address - Country:US
Mailing Address - Phone:618-252-3537
Mailing Address - Fax:
Practice Address - Street 1:TOM'S MAD PRICER DISCOUNT FOOD & DRUGS
Practice Address - Street 2:503 WALNUT
Practice Address - City:MURPHYSBORO
Practice Address - State:IL
Practice Address - Zip Code:62966
Practice Address - Country:US
Practice Address - Phone:618-687-1187
Practice Address - Fax:618-684-8633
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO028161183500000X
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist