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General NPI Number Information
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NPI Number | 1023474889
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Entity Type | Organization
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Legal Business Name | COLISTICS INC
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 2901 GENERAL DEGAULLE DR STE 101
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City | NEW ORLEANS
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State | LA
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Zip | 70114-6443
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Country | US
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Telephone | 504-361-5650
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Fax | 844-230-5490
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Provider Business Mailing Address
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Address Line | 2925 SAINT THOMAS ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-1033
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Country | US
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Telephone | 504-875-9680
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CORY JAMES
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Credential |
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Telephone | 504-361-5650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332100000X
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Taxonomy Name | Department of Veterans Affairs (VA) Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY.007235-IR
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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