National Provider Identifier Database

AULTMAN HEALTH FOUNDATION
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

AULTMAN HEALTH FOUNDATION
6100 WHIPPLE AVE NW
NORTH CANTON, OH44720-7618
Phone: 330-305-6999
Fax: 330-305-6997
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for AULTMAN HEALTH FOUNDATION

NPI Number 1689695652
Legal business name
LBN
AULTMAN HEALTH FOUNDATION
Authorized official G SCOTT MCDONOUGH - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/22/2006
Last updated 04/29/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 021051600
  • OH Medicaid: 2113859
  • Other: 3674428 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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