| NPI | 1053365544 |
|---|---|
| Doing Business As | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Entity Type | Organization |
| Authorized Contact | TRICIA LACAVICH Presadent 314-306-3255 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: FL HHA20290096) |
| Additional Taxonomies | 251E00000X Home Health |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH23578) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2023-03-07 |