Coram Alternate Site Services Inc in Chicago - Compounding Pharmacy
Coram Alternate Site Services Inc - NPI 1912917550
Coram Alternate Site Services Inc is a Compounding Pharmacy in Chicago, Illinois. Coram Alternate Site Services Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Coram Alternate Site Services Inc is 1912917550. The last update date is 2023-03-07.
Coram Alternate Site Services Inc's current location address is Po Box 809160, Chicago, Illinois. You can contact this provider via phone number 4807655043 and fax number 3032980047. The mailing address for Coram Alternate Site Services Inc is Po Box 809160, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Coram Alternate Site Services Inc |
---|---|
Address | Po Box 809160, Chicago, Illinois |
Phone Number | 4807655043 |
Fax Number | 3032980047 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Lacavich Tricia |
Telephone Number | 3143063255 |
NPI Number Detail
NPI Number | 1912917550 |
---|---|
Provider Enumeration Date | 2006-08-08 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | Po Box 809160 |
---|---|
City | Chicago |
State | Illinois (IL) |
Post Code | 606809160 |
Phone Number | 4807655043 |
Fax Number | 3032980047 |
Provider's Primary Taxonomy Detail
Speciality | Compounding Pharmacy |
---|---|
Taxonomy | 3336C0004X |
Licence No | 6403-01-01 0 |
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3720023 | NCPDP | ||
6403-01-01 00:0 | OK | PHARMACY PERMIT |
Post Comment/ Review Below
What is the unique provider identifier assigned to Coram Alternate Site Services Inc?
The Coram Alternate Site Services Inc has been issued the NPI (National Provider Identifier) 1912917550 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Coram Alternate Site Services Inc?
The Coram Alternate Site Services Inc is physically situated at Po Box 809160, in the city of Chicago, state of IL, with the postal code 606809160.
What is the Coram Alternate Site Services Inc's specialty and taxonomy code?
The Coram Alternate Site Services Inc's specialty is Compounding Pharmacy, and the corresponding taxonomy code is 3336C0004X.
On what date did Coram Alternate Site Services Inc receive its 1912917550 assignment from the Centers for Medicare & Medicaid Services?
The Coram Alternate Site Services Inc was assigned its 1912917550 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Coram Alternate Site Services Inc most recently updated?
The details pertaining to the Coram Alternate Site Services Inc, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO