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General NPI Number Information
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NPI Number | 1871864397
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Entity Type | Organization
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Legal Business Name | COLTRX, LLC
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 151 HILLPOINTE DR
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City | CANONSBURG
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State | PA
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Zip | 15317-9502
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Country | US
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Telephone | 412-561-1499
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Fax | 855-262-2143
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Provider Business Mailing Address
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Address Line | 250 MOUNT LEBANON BLVD SUITE A1
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City | PITTSBURGH
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State | PA
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Zip | 15234-1252
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Country | US
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Telephone | 412-561-1499
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Fax | 412-561-1998
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | SAMANTHA RAE PITZARELLA
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Credential | PHARM.D.
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Telephone | 412-295-3363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PP482202
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License Number State | PA
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