Organization
CORAM ALTERNATE SITE SERVICES, INC.
Active
Parent organization
CORAM ALTERNATE SITE SERVICES, INC.
Other names
Coram Specialty Infusion Services, an Apria Healthcare Company
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM ALTERNATE SITE SERVICES, INC.
Authorized official
TRICIA LACAVICH (PRESIDENT)
(314) 306-3255
Entity
Organization
Contact information
Practice address
4317 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9643
(225) 291-1934
(225) 291-5963
Mailing address
PO BOX 809160, CHICAGO, IL 60680-9160
(480) 765-5043
(303) 298-0047
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/12/2013
Last updated
10/21/2022
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