Provider Demographics
NPI:1306178520
Name:ALORE, GARY L (RPH)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:L
Last Name:ALORE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:156 S GARY AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2225
Mailing Address - Country:US
Mailing Address - Phone:630-307-8073
Mailing Address - Fax:630-307-2236
Practice Address - Street 1:156 S GARY AVE
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2225
Practice Address - Country:US
Practice Address - Phone:630-307-8073
Practice Address - Fax:630-307-2236
Is Sole Proprietor?:No
Enumeration Date:2010-02-13
Last Update Date:2010-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.030878183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist