Organization
CORAM LLC
Active
Other names
Coram CVS/specialty Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG S WEINERT (PRESIDENT)
(800) 225-5967
Entity
Organization
Contact information
Practice address
ONE CVS DRIVE, WOONSOCKET, RI 02895-6146
(401) 765-1500
Mailing address
PO BOX 809160, CHICAGO, IL 60680-9160
(480) 765-5043
(401) 733-0211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
07/07/2006
Last updated
03/12/2024
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