NPI 1083995732

Gary R Hannon, RPH

Practitioner Pharmacist Buffalo Grove, IL

Practice location

Address: 1400 E Lake Cook Rd Suite 125, Buffalo Grove, IL 60089-8217
Phone: (847) 676-5365
Fax: (224) 676-5365

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051.034902 (IL)

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Registry record

NPI: 1083995732
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Sep 2011
Record last updated: 7 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.