Organization
NORTHCOAST INFUSION THERAPIES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH SPEIDEL RPH PHARMD (VICE-PRESIDENT)
(440) 735-7150
Entity
Organization
Contact information
Practice address
232 WEST AVE, TALLMADGE, OH 44278-2110
(440) 735-7150
(440) 735-7155
Mailing address
7710 FIRST PL, BLDG E, SUITE H, OAKWOOD VILLAGE, OH 44146-6717
(440) 735-7150
(440) 735-7155
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
02-100200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007901
—
OH
Enumeration date
01/23/2007
Last updated
08/22/2020
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