# IMMUNIZATION SPECIALISTS OF OHIO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265869358
- **Authorized official:** DR. MICHAEL A SALEM PHARMD (PRESIDENT)
- **Authorized official phone:** (440) 520-0659

## Contact information

- **Practice address:** 3999 LYDGATE DR, NORTH OLMSTED, OH 44070-1939
- **Practice address phone:** (440) 520-0659
- **Mailing address:** 3999 LYDGATE DR, NORTH OLMSTED, OH 44070-1939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2013
- **Last updated:** 10/03/2013