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Organization
LALLY DRUG INC
Active
Organization
LALLY DRUG INC
Active
Other names
LALLY HEALTH MART
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LALLY RPH (PRESIDENT CEO)
(330) 631-3785
Entity
Organization
Contact information
Practice address
23 ERIE RD, TALLMADGE, OH 44278-2326
(330) 633-3239
(330) 633-0748
Mailing address
23 ERIE RD, TALLMADGE, OH 44278-2326
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
02166415000510
OH
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2719599
—
OH
01
—
3675658
OTHER ID NUMBER
—
Enumeration date
02/21/2007
Last updated
11/19/2007
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