Organization · Type 2 NPI

Coram Alternate Site Services Inc

Home Infusion Agency · Bartlett, TN

NPI number 1629184957 Active

Practice location

8370 Wolf Lake Dr Ste 107
Bartlett, TN 38133-7108

Call (615) 630-9279 Map

Mailing address

PO Box 809160
Chicago, IL 60680-9160

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
Home Infusion Agency Primary	251F00000X	None listed

Home Infusion Agency: Definition to come...

NPI record

NPI: 1629184957
Entity type: Organization (Type 2)
Issued: Aug 21, 2006
Last updated: Mar 7, 2023
Status: Active
Subpart: Yes of Coram Alternate Site Services Inc

Other names

<unavail>
Coram Cvs/specialty Infusion Services · doing business as
Coram Cvs/specialty Infusion Services · doing business as

Authorized official

Tricia Lacavich
President
(314) 306-3255

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About NPI 1629184957

Coram Alternate Site Services Inc's National Provider Identifier is 1629184957, issued on Aug 21, 2006. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Bartlett, TN. The record was last updated on Mar 7, 2023.