Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chinagorom Ilo

Individual provider Pharmacist · NPI 1306440649

Chinagorom Ilo is a Pharmacist in Desoto, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
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Practice location Address checks out

1305 W Belt Line Rd
Desoto, TX 75115-3627
Phone: (972) 223-0222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 65650 (TX)

Record details

NPI number1306440649
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 27, 2020
Last updated in NPPESNovember 27, 2020
Certification dateNovember 27, 2020
Mailing address1305 W Belt Line Rd, Desoto, TX 75115-3627

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