| NPI | 1619478047 |
|---|---|
| Doing Business As | CORAM CVS/ SPECIALTY INFUSION SERVICES |
| Entity Type | Organization |
| Authorized Contact | TRICIA LACAVICH President 314-306-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 251E00000X Home Health |
| 333600000X Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2022-10-20 |