CORAM HEALTHCARE CORPORATION OF SOUTHERN CALIFORNIA

ONTARIO, CA
NPI1740239623
Doing Business AsCORAM CVS/SPECIALTY INFUSION SERVICES
Entity TypeOrganization
Authorized ContactCRAIG WEINERT
President
401-765-1500
Organization Subpart ?Yes
Primary Taxonomy3336H0001X Pharmacy Home Infusion Therapy Pharmacy
(Licence: CA  PHY 40884)
Additional Taxonomies251E00000X Home Health
(Licence: CA  2400748)
251F00000X Home Infusion
(Licence: CA  2400748)
261QI0500X Clinic/Center Infusion Therapy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: CA  PHY49297)
332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition
(Licence: CA  PHY 40884)
333600000X Pharmacy
(Licence: CA  PHY 40884)
3336C0003X Pharmacy Community/Retail Pharmacy
(Licence: CA  PHY 40884)
3336M0002X Pharmacy Mail Order Pharmacy
(Licence: CA  PHY 40884)
Enumeration Date2006-05-09
Last Update Date2024-03-15
Business Address
CORAM HEALTHCARE CORPORATION OF SOUTHERN CALIFORNIA
4355 E LOWELL ST STE C
ONTARIO, CA 91761-2225
Phone number: 909-605-0010
Mailing Address
CORAM HEALTHCARE CORPORATION OF SOUTHERN CALIFORNIA
PO BOX 809160
CHICAGO, IL 60680-9160
Phone number: 303-672-8631