CORAM SPECIALTY INFUSION SERVICES (Credential# 1058274) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
CORAM SPECIALTY INFUSION SERVICES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0002347. The credential type is nonresident pharmacy. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 12 Jupiter Ln, Albany, NY 12205-6918. The current status is active.
| Licensee Name | CORAM SPECIALTY INFUSION SERVICES |
| Business Name | CORAM SPECIALTY INFUSION SERVICES |
| Doing Business As | CORAM CVS / SPECIALTY INFUSION SERVICES |
| Credential ID | 1058274 |
| Credential Number | PCN.0002347 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
12 Jupiter Ln Albany NY 12205-6918 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-04-25 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-07-10 |
| Street Address | 12 JUPITER LN |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-6918 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dana Ann Finke | 12 Jupiter Ln, Albany, NY 12205-6919 | Dietitian/nutritionist | 2019-10-11 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luke Sacharczyk | 32 Aviation Rd., Albany, NY 12205 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Justin S Pechar | 6 Wembley Court, Albany, NY 12205 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Anthony M Papile | Iii Winners Circle, Albany, NY 12205 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Daniel A Hampson | 80 Wolf Rd, Albany, NY 12205 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kyle William Uhlig | 424 Sand Creek Road, Albany, NY 12205 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Jennifer L Carraway | 29 Natick St, Albany, NY 12205 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Barry M Bohen | 104 Sand Creek Rd, Albany, NY 12205 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Nicole Craig | 1 Louis Drive, Albany, NY 12205 | Notary Public Appointment | 2017-04-06 ~ 2022-04-30 |
| Kristen Schultz | 4 Warmington St, Colonie, NY 12205 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Brenda Lee Wardner | 42 Reber Street, Albany, NY 12205 | Occupational Therapist | 2019-10-04 ~ 2021-07-31 |
| Find all Licenses in zip 12205 | |||
| City | ALBANY |
| Zip Code | 12205 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + ALBANY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Coram Cvs/specialty Infusion Services | 6 Spring Mill Dr, Malvern, PA 19355-1200 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Coram Cvs/ Specialty Infusion Services | 45 S Service Rd, Plainview, NY 11803-4100 | Nonresident Pharmacy | ~ |
| Coram Cvs/specialty Infusion Services | 211 Carando Dr, Springfield, MA 01104-3213 | Nonresident Pharmacy | 2020-01-21 ~ 2020-08-31 |
| Coram Specialty Infusion Services An Apria Healthcare Company | 12 Petra Lane, Albany, NY 12205 | Nonresident Pharmacy | 2007-09-01 ~ 2008-08-31 |
| Coram Alternate Site Services Inc · Coram Specialty Infusion Services | 1471 E Business Center Dr Ste 500, Mount Prospect, IL 60056-6082 | Nonresident Pharmacy | 2011-09-28 ~ 2012-08-31 |
| Coram Alternate Site Services Inc · Coram Specialty Infusion Services | 1471 E Business Center Dr Ste 500, Mt Prospect, IL 60056-6082 | Nonresident Pharmacy | 2013-09-01 ~ 2014-08-31 |
| Coram Alternate Site Services Inc · Coram Cvs Specialty Infusion Services | 2345 Waters Dr, Mendota Heights, MN 55120-1163 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Coram Healthcare of Massachusetts · Coram Cvs/specialty Infusion Services | 367 W Main St Unit F, Northborough, MA 01532-2100 | Nonresident Pharmacy | 2016-01-21 ~ 2016-08-31 |
| Coram Healthcare of Mass · Coram Cvs/ Specialty Infusion Services | 575 University Ave Ste 2, Norwood, MA 02062-2654 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Coram Alternate Site Services Inc · Coram Cvs Specialty Infusion Services | 2 Barnes Industrial Park Rd South Ste A, Wallingford, CT 06492 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).