Coram Cvs/Specialty Infusion Services

LBN: Coram Healthcare Corporation Of Nv
Coram Cvs/Specialty Infusion Services is an health care organization with primary practice located at 1951 Ramrod Ave Ste 110, Henderson NV 89014-2400. The organization recently has 9 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, 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 Healthcare Corporation Of Nv can be contacted via phone (702) 453-4546, or through Lacavich, Tricia via phone (314) 306-3255.

Contact Information

Primary practice address
1951 Ramrod Ave Ste 110 Henderson NV 89014-2400
Fax: (702) 453-0204
Website:
Authorized official contact:
Name: Lacavich, Tricia

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 722NSP-9 Nevada
Agencies / Home Infusion 251F00000X 722NSP-9 Nevada
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X N/A Nevada
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PH0746 Nevada
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PH0746 Nevada
Suppliers / Pharmacy 333600000X PH0746 Nevada
Suppliers / Community/Retail Pharmacy 3336C0003X PH0746 Nevada
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PH0746 Nevada
Suppliers / Mail Order Pharmacy 3336M0002X PH0746 Nevada

Profile Details

NPI number 1881639755
LBN Legal business name Coram Healthcare Corporation Of Nv
DBA Doing business as Coram Cvs/Specialty Infusion Services
Authorized official Lacavich, Tricia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 17th, 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 1881639755 NPPES
Nevada Other PH0746 RX LICENSE
Nevada Other 2902852 RX LICENSE

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