Provider Demographics
NPI:1336259811
Name:LAWLER'S PHARMACY LLC
Entity Type:Organization
Organization Name:LAWLER'S PHARMACY LLC
Other - Org Name:LAWLER'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALPESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-304-2221
Mailing Address - Street 1:817 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:OH
Mailing Address - Zip Code:43821
Mailing Address - Country:US
Mailing Address - Phone:740-754-3434
Mailing Address - Fax:740-754-1950
Practice Address - Street 1:817 MAIN ST
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:OH
Practice Address - Zip Code:43821
Practice Address - Country:US
Practice Address - Phone:740-754-3434
Practice Address - Fax:740-754-1950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
OH0216339503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2071958OtherPK
OH2692340Medicaid
OH1201420012Medicare NSC