Last Updated:  7/8/2024 5:22:07 AM

Pharmacy Detail                               

Corporation / Company Owner Name

CORAM ALTERNATE SITE SERVICES INC 

Business (DBA) Name  

CORAM CVS SPECIALTY INFUSION SERVICES 

License Number 

99-8521 

Type of Pharmacy

Non-Resident 

Address

1471 BUSINESS CENTER DRIVE STE 500

City, State, Zip 

MOUNT PROSPECT, IL  60056

Country 

 

Issue Date 

08/05/2019 

Renewed Date

08/04/2023

Expiration Date 

08/31/2024 

End Date 

 

Replacing

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JESSICA M BALMELLI - 19850

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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