Lally Health Mart

LBN: Lally Drug Inc
Lally Health Mart is an health care organization with primary practice located at 23 Erie Rd , Tallmadge OH 44278-2326. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lally Drug Inc can be contacted via phone (330) 633-3239, or through Lally, Charles via phone (330) 631-3785.

Contact Information

Primary practice address
23 Erie Rd Tallmadge OH 44278-2326
Phone: (330) 633-3239
Fax: (330) 633-0748
Website:
Map and Directions
Authorized official contact:
Name: Lally, Charles RPH
Phone: (330) 631-3785

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 02166415000510 Ohio
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1922143551
LBN Legal business name Lally Drug Inc
DBA Doing business as Lally Health Mart
Authorized official Lally, Charles RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Nov 19th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922143551 NPPES
Ohio MEDICAID 2719599
Ohio Other 3675658
Ohio Other 3675658

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