NPI | 1740390202 |
---|---|
Doing Business As | CORAM CVS/SPECIALTY INFUSION SERVICES |
Entity Type | Organization |
Authorized Contact | CRAIG S WEINERT President 401-765-1500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: TX 16602) |
Additional Taxonomies | 251E00000X Home Health (Licence: TX 003655) |
251F00000X Home Infusion (Licence: TX 003655) | |
261QI0500X Clinic/Center Infusion Therapy (Licence: TX 003655) | |
332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: TX 16602) | |
333600000X Pharmacy (Licence: TX 16602) | |
3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 16602) | |
3336M0002X Pharmacy Mail Order Pharmacy (Licence: TX 16602) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2024-03-09 |