Coram Healthcare Corporation Of Southern California in Ontario - Mail Order Pharmacy
Coram Healthcare Corporation Of Southern California - NPI 1740239623
Coram Healthcare Corporation Of Southern California is a Mail Order Pharmacy in Ontario, California. Coram Healthcare Corporation Of Southern California practices all healthcare services and medical treatments related to Mail Order Pharmacy. The NPI Number for Coram Healthcare Corporation Of Southern California is 1740239623. The last update date is 2023-03-07.
Coram Healthcare Corporation Of Southern California's current location address is 4355 E Lowell St, Ontario, California. You can contact this provider via phone number 9096050010 and fax number 9066055771. The mailing address for Coram Healthcare Corporation Of Southern California is 4355 E Lowell St, Ontario, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Coram Healthcare Corporation Of Southern California |
---|---|
Address | 4355 E Lowell St, Ontario, California |
Phone Number | 9096050010 |
Fax Number | 9066055771 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Lacavich Tricia |
Telephone Number | 3143063255 |
NPI Number Detail
NPI Number | 1740239623 |
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Provider Enumeration Date | 2006-05-09 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 4355 E Lowell St |
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City | Ontario |
State | California (CA) |
Post Code | 917612225 |
Phone Number | 9096050010 |
Fax Number | 9066055771 |
Provider's Primary Taxonomy Detail
Speciality | Mail Order Pharmacy |
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Taxonomy | 3336M0002X |
Licence No | PHY 40884 |
Definition: A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PHY49297 | CA | PHARMACY LICENSE | |
PHA 408840 | CA | -- | |
553708 | NCPDP | ||
2400748 | CA | HOME HEALTH AGENCY |
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What is the unique 10-digit identifier code issued to Coram Healthcare Corporation Of Southern California by the Centers for Medicare & Medicaid Services?
The Coram Healthcare Corporation Of Southern California has been assigned the NPI (National Provider Identifier) 1740239623 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Coram Healthcare Corporation Of Southern California's physical address?
The Coram Healthcare Corporation Of Southern California is physically located at 4355 E Lowell St, in the city of Ontario, CA, with the postal code 917612225.
What is the Coram Healthcare Corporation Of Southern California's specialty and taxonomy code?
The Coram Healthcare Corporation Of Southern California's specialty is Mail Order Pharmacy, and the corresponding taxonomy code is 3336M0002X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740239623 to Coram Healthcare Corporation Of Southern California?
The Centers for Medicare & Medicaid Services originally issued the 1740239623 to Coram Healthcare Corporation Of Southern California on 2006-05-09.
When was the information regarding Coram Healthcare Corporation Of Southern California most recently updated?
The details pertaining to the Coram Healthcare Corporation Of Southern California, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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