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CORAM HEALTHCARE CORPORATION OF UTAH NPI 1316046915


NPI Information

NPI: 1316046915
Provider Name: CORAM HEALTHCARE CORPORATION OF UTAH

Doing Business As: CORAM CVS/SPECIALTY INFUSION SERVICES

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
120 W VINE ST
SUITE 140
MURRAY, UT
ZIP 84107
Phone: (801) 713-1800
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CORAM HEALTHCARE CORPORATION OF UTAH is a home infusion therapy pharmacy pharmacy in Murray, UT. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. CORAM HEALTHCARE CORPORATION OF UTAH NPI is 1316046915. The provider is registered as an organization entity type.
The provider Is Doing Business As Coram Cvs/specialty Infusion Services.

The provider's business location address is:

120 W VINE ST
SUITE 140
MURRAY, UT
ZIP 84107-774
Phone: (801) 713-1800
Fax: (801) 713-1810

The provider's authorized official is William Bolgar .
The authorized official title is President/treasurer and has the following contact phone number (720) 895-3122.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 6/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QI0500XClinic/CenterInfusion Therapy2004-HHA-593UTAHNo
2251E00000XHome Health2004-HHA-593UTAHNo
3251F00000XHome Infusion2004-HHA-593UTAHNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition315625-1704UTAHNo
6333600000XPharmacy315625-1704UTAHNo
73336C0003XPharmacyCommunity/Retail Pharmacy315625-1704UTAHNo
83336M0002XPharmacyMail Order Pharmacy315625-1704UTAHNo
93336H0001XPharmacyHome Infusion Therapy Pharmacy315625-1704UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BH2360357OTHERDEA
24608254OTHERNCPDP
3315625-1704OTHERUTAHRX LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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