# AULTMAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aultman Specialty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467177485
- **Authorized official:** ADAM M LUNTZ (CFO)
- **Authorized official phone:** (330) 363-3889

## Contact information

- **Practice address:** 2500 WALES AVE NW STE B, MASSILLON, OH 44646-2324
- **Practice address phone:** (330) 588-4758
- **Mailing address:** PO BOX 80690, CANTON, OH 44708-0690
- **Mailing address phone:** (330) 588-4758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/12/2022
- **Last updated:** 03/18/2024