Organization
AULTMAN HOSPITAL
Active
Other names
AULTMAN EMPLOYEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CASEY BS (PHARMACIST MANAGER)
(330) 363-5489
Entity
Organization
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 363-5489
(330) 363-5837
Mailing address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 363-5489
(330) 363-5837
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PMY02142810003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079881
PK
—
05
—
2501420
—
OH
Enumeration date
12/27/2006
Last updated
03/16/2020
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