Organization
CLINICAL SPECIALTIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHAPIRO (PRESIDENT & CFO)
(800) 879-6137
Entity
Organization
Contact information
Practice address
6288 HUDSON CROSSING PKWY, HUDSON, OH 44236-4347
(440) 717-1700
(440) 717-1705
Mailing address
4222 PAYSPHERE CIRCLE, CHICAGO, IL 60674-0042
(440) 717-1700
(440) 717-1705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
02-053345005543
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01974556
—
PA
01
—
0337510001
MEDICARE DMEMAC PART B CARRIER
—
05
—
0772892
—
OH
05
—
201050150A
—
IN
01
—
22846
RESPIRATORY CARE BOARD
OH
05
—
3661229
—
MI
05
—
54002316
—
KY
01
—
64000262A
PHARMACY BOARD NON-RESIDENT PHARMACY
IN
01
—
69000884A
HOME MEDICAL EQUIP SERVICE PROVIDER
IN
05
—
90002668
—
KY
01
—
L2037237
STATE OF MICHIGAN - PHARMACY LICENSE
MI
Enumeration date
08/04/2006
Last updated
10/27/2023
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