NPI | 1609899590 |
---|---|
Doing Business As | CORAM CVS/SPECIALTY INFUSION SERVICES |
Entity Type | Organization |
Authorized Contact | TRICIA LACAVICH President 314-306-3255 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251F00000X Home Infusion |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CO 370000024) |
333600000X Pharmacy (Licence: CO 370000024) | |
251E00000X Home Health | |
261QI0500X Clinic/Center, Infusion Therapy (Licence: CO 370000024) | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2023-03-07 |