# CORAM HEALTHCARE CORPORATION OF ALABAMA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992851174
- **Authorized official:** TRICIA LACAVICH (PRESIDENT)
- **Authorized official phone:** (314) 306-3255

## Contact information

- **Practice address:** 1675 BROADWAY, SUITE 900, DENVER, CO 80202-4675
- **Practice address phone:** (303) 672-8631
- **Practice address fax:** (303) 298-0047
- **Mailing address:** PO BOX 809160, CHICAGO, IL 60680-9160
- **Mailing address phone:** (303) 672-8631
- **Mailing address fax:** (303) 298-0047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 251F00000X | Home Infusion Agency | — | — | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | — | — |
| 333600000X | Pharmacy | — | — | Yes |
| 3336C0004X | Compounding Pharmacy | — | — | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | — | — |
| 3336M0002X | Mail Order Pharmacy | — | — | — |
| 3336S0011X | Specialty Pharmacy | — | — | — |

## Other

- **Enumeration date:** 01/28/2007
- **Last updated:** 08/25/2022
