Organization

Coram Alternate Site Services, Inc.

May also be knows as Coram Cvs/specialty Infusion Services

Home Infusion Therapy Pharmacy in Spokane Valley, WA(View on Map)

Legal Business Name

Coram Alternate Site Services, Inc.

Also Known As

Coram Cvs/specialty Infusion Services

NPI Number

1528345519

NPI Type

Organization

Enumeration Date

11/04/2011

Specialties

(Taxonomies)

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 809160
5511 E 3RD AVE

City

Chicago
Spokane Valley

State

IL
WA

Postal Code

60680-9160
99212-0726

Country

US
US

Telephone Number

(866) 224-5134
(509) 482-4266

Authorized Official

Name

Craig Weinert

Title or Position

PRESIDENT

Telephone Number

(401) 765-1500

Identifiers

Identifier

4934647
PHAR.CF.60470283

Identifier State

Unknown
WA

Identifier Issuer

NCPDP
PHARMACY PERMIT

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

Endpoint Description

2.16.840.1.113883.3.667.2

Use

Other

Content Type

Unknown

Affiliation

Y

Endpoint Location

ABILITY Network100 N 6th St Ste 900AMinneapolis, MN554031516US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/15/2024

Provider Address

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Organization

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Organization

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Organization

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Organization

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Organization

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Organization

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Organization

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Organization

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Organization

Reliant Rx Llc

May also be known as Reliant Rx Llc
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Specialties: Long Term Care Pharmacy (Primary)Clinic PharmacyCommunity/Retail PharmacyCompounding PharmacyDurable Medical Equipment & Medical SuppliesHome Infusion Therapy PharmacyParenteral & Enteral Nutrition Supplies (DME)Pharmacy