Individual
DAVID DOMINIC LALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 N PROVIDENCE RD APT F05, MEDIA, PA 19063-2133
(570) 332-2389
Mailing address
940 N PROVIDENCE RD APT F05, MEDIA, PA 19063-2133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451619
PA
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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