Individual
GEORGE THOMAS ILLIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 COTTON CREEK DR STE 100, GULF SHORES, AL 36542-2850
(251) 327-8280
Mailing address
120 AUGUSTA CT, FAIRHOPE, AL 36532-6352
(251) 327-8280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22071
AL
Other
Enumeration date
01/17/2019
Last updated
08/12/2021
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