Healthcare Provider Details

I. General information

NPI: 1396658340
Provider Name (Legal Business Name): ALLY PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2032 VALLEYDALE RD STE D
HOOVER AL
35244-2095
US

IV. Provider business mailing address

2032 VALLEYDALE RD STE D
HOOVER AL
35244-2095
US

V. Phone/Fax

Practice location:
  • Phone: 813-453-4354
  • Fax:
Mailing address:
  • Phone: 813-453-4354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. RAVI YALAMANCHILI
Title or Position: MANAGING PARTNER
Credential:
Phone: 813-453-4354