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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02166415000510
OH
3336C0004X
Compounding Pharmacy
—
—
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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