MEDICARE: LAWLER'S PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2071958	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336259811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWLER'S PHARMACY LLC

Provider Business Mailing Address
First Line	:	817 MAIN STREET
Second Line	:
City	:	DRESDEN
State	:	OH
Zip	:	43821
Country	:	US
Telephone Number	:	740-754-3434
Fax Number	:	740-754-1950

Provider Business Practice Location Address
First Line	:	817 MAIN ST
Second Line	:
City	:	DRESDEN
State	:	OH
Zip	:	43821
Country	:	US
Telephone Number	:	740-754-3434
Fax Number	:	740-754-1950

Authorized Official
Title or Position	:	OWNER
Name	:	ALPESH PATEL
Credential	:
Telephone Number	:	813-304-2221

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	11/02/2020

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