institution
Coram Healthcare Corporation Of Greater D.c.
Infusion Therapy Clinic/Center in Chantilly, Virginia
NPI 1063681807

Coram Healthcare Corporation Of Greater D.c. is a Infusion Therapy Clinic/Center based in Denver, VA and is specialized in Infusion Therapy. Coram Healthcare Corporation Of Greater D.c. practices in Chantilly, VA. The NPI Number for Coram Healthcare Corporation Of Greater D.c. is 1063681807 and holds a License No. (Virginia).

The current practice location address for Coram Healthcare Corporation Of Greater D.c. is 4115 Pleasant Valley Rd Ste 600, Chantilly, VA and can be reached out via phone at 703-631-1611 and via fax at 703-631-6738.

Location: 4115 Pleasant Valley Rd Ste 600, Chantilly, VA, 80202-4675
institution
Provider Profile Details
NPI Number
1063681807
Provider Name
Coram Healthcare Corporation Of Greater D.c.
Credential
Provider Entity Type
Organization
Address
4115 Pleasant Valley Rd Ste 600, Chantilly, VA, 80202-4675
Phone Number
703-631-1611
Fax Number
703-631-6738
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PO2111 01 MD OUT OF STATE PHARMACY
0201002670 01 VA STATE PHARMACY
4829846 01 NCPDP
465933 01 MD CONTROLLED SUBSTANCE
HCO-08176 01 VA HOME CARE ORGANIZATION
MO0559275 01 WV OUT OF STATE PHARMACY
institution
Provider Business Practice Location Address Details
Address
4115 Pleasant Valley Rd Ste 600
City
State
Zip
20151-1223
Phone Number
703-631-1611
Fax Number
703-631-6738
person
Provider Business Mailing Address Details
Address
4115 Pleasant Valley Rd Ste 600
City
State
Zip
20151-1223
Phone Number
703-631-1611
Fax Number
703-631-6738
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
License No.
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Definition
Definition to come...
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