Coram Cvs/Specialty Infusion Services
LBN: Coram Alternate Site Services Inc
Coram Cvs/Specialty Infusion Services is an health care organization with primary practice located at 4310 E Cotton Center Blvd Ste 110, Phoenix AZ 85040-8857. The organization recently has 8 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty.
Coram Alternate Site Services Inc can be contacted via phone (602) 438-7888, or through Weinert, Craig S via phone (401) 765-1500.
Contact Information
Primary practice address
4310 E Cotton Center Blvd Ste 110
Phoenix AZ 85040-8857
Phone: (602) 438-7888
Fax: (602) 438-4559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Agencies / Home Infusion | 251F00000X | 2749 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 2749 | Arizona |
| Suppliers / Pharmacy | 333600000X | 2749 | Arizona |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2749 | Arizona |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | 2749 | Arizona |
| Suppliers / Mail Order Pharmacy | 3336M0002X | 2749 | Arizona |
Profile Details
| NPI number | 1164471405 |
|---|---|
| LBN Legal business name | Coram Alternate Site Services Inc |
| DBA Doing business as | Coram Cvs/Specialty Infusion Services |
| Authorized official | Weinert, Craig S |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Mar 12th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164471405 | NPPES |
| Arizona | Other | 2749 | RX LICENSE |
| Arizona | MEDICAID | 328478 | RX LICENSE |
| Arizona | Other | 0321579 | RX LICENSE |
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