Organization
AULTMAN PHARMACY INC
Active
Other names
AULTMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CASEY RPH (PHRM MANG)
(330) 433-9005
Entity
Organization
Contact information
Practice address
5215 FULTON DR NW # WN, CANTON, OH 44718-1805
(330) 433-9005
(330) 433-9022
Mailing address
5215 FULTON DR NW # WN, CANTON, OH 44718-1805
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021673600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2721022
—
OH
01
—
3675773
OTHER ID NUMBER
—
Enumeration date
04/06/2007
Last updated
06/20/2008
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