CORAM ALTERNATE SITE SERVICES, INC.
Specialty Pharmacy
Falmouth, Maine
Provider NPI: 1932477809
Organization Information:Organization Name: CORAM ALTERNATE SITE SERVICES, INC.
Practice Location:
12 NORTHBROOK DR STE 1 FALMOUTH, ME 04105 US
Tel: 207-781-0028 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
12 NORTHBROOK DR STE 1 FALMOUTH, ME 04105 US
Tel: 207-781-0028 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 251E00000X | Agencies Home Health | ||
N | 251F00000X | Agencies Home Infusion | ||
N | 261QI0500X | Ambulatory Health Care Facilities Clinic/Center | ||
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 333600000X | Suppliers Pharmacy | ||
N | 3336C0004X | Suppliers Pharmacy | ||
N | 3336M0002X | Suppliers Pharmacy | ||
N | 3336S0011X | Suppliers Pharmacy | ||
Y | 3336H0001X | Suppliers Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 2008717 | 01 | |
PHARMACY PERMIT | PH50001464 | ME | 01 |
DEA | BA4766854 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin