Organization
HOME I.V. SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHAPIRO (PRESIDENT & CFO)
(800) 879-6137
Entity
Organization
Contact information
Practice address
200 S MAIN ST, JONESBORO, AR 72401-2907
(870) 972-1677
(870) 972-1911
Mailing address
PO BOX 1477, JONESBORO, AR 72403-1477
(870) 972-1677
(870) 972-1911
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
AR19641
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4A004
BCBS AR
AR
Enumeration date
11/20/2006
Last updated
04/12/2022
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