| NPI | 1922143551 |
|---|---|
| Doing Business As | LALLY HEALTH MART |
| Entity Type | Organization |
| Authorized Contact | CHARLES LALLY President CEO 330-631-3785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02166415000510) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-11-19 |