| NPI | 1659300861 |
|---|---|
| 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 (Licence: MD 1094) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MD 1094) |
| 261QI0500X Clinic/Center Infusion Therapy (Licence: MD 1094) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: MD PWO131) | |
| 333600000X Pharmacy (Licence: MD PWO131) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD PWO131) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: MD PWO131) | |
| 3336M0002X Pharmacy Mail Order Pharmacy (Licence: MD PWO131) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-03-07 |