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NPI Code Detail

MEDICARE: MRS. GERLINDE R LOCASTO RPH

MEDICARE: MRS. GERLINDE R LOCASTO RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051-034781IL

General Provider Information

NPI Number : 1073894259
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GERLINDE R LOCASTO RPH
Provider Business Mailing Address
First Line : 1285 S RAND RD
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-2960
Country : US
Telephone Number : 847-438-8565
Fax Number :
Provider Business Practice Location Address
First Line : 1285 S RAND RD
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-2960
Country : US
Telephone Number : 847-438-8565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 09/01/2011

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Directions to “ MRS. GERLINDE R LOCASTO RPH” Practice Location

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