Organization
ALLORA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID THAYER (PRES)
(618) 789-0012
Entity
Organization
Contact information
Practice address
844 HOLYOAKE RD, EDWARDSVILLE, IL 62025-2315
(618) 789-0012
Mailing address
PO BOX 997, EDWARDSVILLE, IL 62025-0997
(618) 789-0012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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