| Organization Name: | CORAM DRUGS INC. |
| NPI Number: | 1194860296 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NAYYAR IMAM (PRESIDENT) |
| Mailing Address: | 1850 Route 112 Ste P Coram |
| State: | NY US |
| Postal Code: | 117272232 |
| Phone Number: | 6316987788 |
| Fax Number: | 6316980103 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 10/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 023236 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |