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CORAM HEALTHCARE/CAROLINA HOME THERAPEUTICS

Mail Order Pharmacy

Columbia, South Carolina

Provider NPI: 1134131352

Organization Information:
Organization Name:  CORAM HEALTHCARE/CAROLINA HOME THERAPEUTICS


Practice Location:
720 GRACERN RD SUITE 123 COLUMBIA, SC 29210 US
Tel: 803-731-5076  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N251E00000XAgencies
Home Health
N251F00000XAgencies
Home Infusion
N261QI0500XAmbulatory Health Care Facilities
Clinic/Center
N332BP3500XSuppliers
Durable Medical Equipment & Medical Supplies
SC50-004889
N333600000XSuppliers
Pharmacy
SC50-004889
N3336C0003XSuppliers
Pharmacy
SC50-004889
N3336M0002XSuppliers
Pharmacy
SC50-004889
Y3336H0001XSuppliers
Pharmacy
SC50-004889

Other Provider Identifiers:

IssuerNumberStateType
NCPDP421936201
DEABC176621701
0334970001SC07
RX LICENSE10-04889SC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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