Coram Cvs/Specialty Infusion Services

LBN: Coram Healthcare Corporation Of Northern California
Coram Cvs/Specialty Infusion Services is an health care organization with primary practice located at 1401 Willow Pass Rd , Concord CA 94520-7982. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion. Agencies / Home Infusion is the primary health care specialty. Coram Healthcare Corporation Of Northern California can be contacted via phone (323) 371-5046, or through Lacavich, Tricia via phone (314) 306-3255.

Contact Information

Primary practice address
1401 Willow Pass Rd Concord CA 94520-7982
Phone: (323) 371-5046
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lacavich, Tricia
Phone: (314) 306-3255

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 020000338 California
Agencies / Home Infusion 251F00000X 020000338 California

Profile Details

NPI number 1629027867
LBN Legal business name Coram Healthcare Corporation Of Northern California
DBA Doing business as Coram Cvs/Specialty Infusion Services
Authorized official Lacavich, Tricia
Entity Organization
Organization subpart 1 Yes
Enumeration date May 6th, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629027867 NPPES
California Other PHY49294 PHARMACY LICENSE
California Other 020000338 PHARMACY LICENSE
California Other 0522385 PHARMACY LICENSE
California MEDICAID PHA466360 PHARMACY LICENSE

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