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
2021 WALES AVE NW
MASSILLON, OH44646
Phone: 330-305-6999
Fax: 330-830-5454
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for AULTMAN HEALTH FOUNDATION

NPI Number 1811910813
Legal business name
LBN
AULTMAN HEALTH FOUNDATION
Authorized official G SCOTT MCDONOUGH - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/25/2006
Last updated 04/19/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: CL.021021550-03
  • Other: 2080381 PK

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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