Organization
AULTMAN HOSPITAL
Active
Other names
Aultman Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM M LUNTZ (CFO)
(330) 363-3889
Entity
Organization
Contact information
Practice address
2500 WALES AVE NW STE B, MASSILLON, OH 44646-2324
(330) 588-4758
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 588-4758
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/12/2022
Last updated
03/18/2024
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