Coram Alternate Site Services, Inc. in Johnson City - Home Infusion Therapy Pharmacy
Coram Alternate Site Services, Inc. - NPI 1518073832
Coram Alternate Site Services, Inc. is a Home Infusion Therapy Pharmacy in Johnson City, Tennessee. Coram Alternate Site Services, Inc. practices all healthcare services and medical treatments related to Home Infusion Therapy Pharmacy. The NPI Number for Coram Alternate Site Services, Inc. is 1518073832. The last update date is 2023-03-07.
Coram Alternate Site Services, Inc.'s current location address is 1009 Lark St, Johnson City, Tennessee. You can contact this provider via phone number 4234340110 and fax number 4234340095. The mailing address for Coram Alternate Site Services, Inc. is 1009 Lark St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coram Alternate Site Services, Inc. |
|---|---|
| Address | 1009 Lark St, Johnson City, Tennessee |
| Phone Number | 4234340110 |
| Fax Number | 4234340095 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lacavich L Tricia |
| Telephone Number | 3184071785 |
NPI Number Detail
| NPI Number | 1518073832 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1009 Lark St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376048217 |
| Phone Number | 4234340110 |
| Fax Number | 4234340095 |
Provider's Primary Taxonomy Detail
| Speciality | Home Infusion Therapy Pharmacy |
|---|---|
| Taxonomy | 3336H0001X |
| Licence No | 1704 |
|
Definition: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 445486 | NC | -- | |
| 4426892 | NCPDP | ||
| 7701520 | NC | -- | |
| 145206 | TN | -- | |
| 9111158 | VA | -- | |
| 1704 | TN | RX LICENSE | |
| 8506671 | VA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Coram Alternate Site Services, Inc. by the Centers for Medicare & Medicaid Services?
The Coram Alternate Site Services, Inc. has been issued the NPI (National Provider Identifier) 1518073832. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Coram Alternate Site Services, Inc.?
The Coram Alternate Site Services, Inc. is situated at 1009 Lark St, in the city of Johnson City, state of TN, with the zip code 376048217.
What is the Coram Alternate Site Services, Inc.'s area of specialization and corresponding taxonomy classification?
The Coram Alternate Site Services, Inc.'s specialty field is Home Infusion Therapy Pharmacy, and it falls under the taxonomy code 3336H0001X, which categorizes healthcare providers based on their specialties.
On what date did the Coram Alternate Site Services, Inc. receive the assignment of its 1518073832 from the Centers for Medicare & Medicaid Services?
The Coram Alternate Site Services, Inc. was issued its 1518073832 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the details pertaining to Coram Alternate Site Services, Inc. last refreshed?
The information related to the Coram Alternate Site Services, Inc., including its address, specialty, and other relevant details, was last updated on 2023-03-07.
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