NPI 1619478047

Coram Alternate Site Services, INC.

Organisation Home Infusion Agency Phoenix, AZ

Practice location

Address: 4601 E Hilton Ave STE 105, Phoenix, AZ 85034-6406
Phone: (480) 240-3200
Mailing address: PO Box 809160, Chicago, IL 60680-9160

Authorised official

Name: Tricia Lacavich
Title: President
Phone: (314) 306-3255

Registered specialties (4)

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X

Other Home Infusion providers in Arizona →

Home Health Agency

Agencies Taxonomy 251E00000X

Other Home Health providers in Arizona →

Pharmacy

Suppliers Taxonomy 333600000X

Other Pharmacy providers in Arizona →

Home Infusion Therapy Pharmacy

Suppliers Taxonomy 3336H0001X

Registry record

NPI: 1619478047
Entity type: Organization
NPI issued: 21 Feb 2018
Record last updated: 20 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.