| NPI | 1912309881 |
|---|---|
| Doing Business As | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Entity Type | Organization |
| Authorized Contact | TRICIA L LACAVICH President 318-407-1785 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2022-10-21 |