Provider Demographics
NPI:1730392408
Name:ALTO, LOUIS
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:
Last Name:ALTO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 WILSON BLVD N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-1343
Mailing Address - Country:US
Mailing Address - Phone:239-304-7555
Mailing Address - Fax:239-304-7555
Practice Address - Street 1:2400 IMMOKALEE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1404
Practice Address - Country:US
Practice Address - Phone:239-593-7038
Practice Address - Fax:239-593-7610
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32489183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist