NPI | 1023474889 |
---|---|
Doing Business As | COLISTICS PHARMACY |
Entity Type | Organization |
Authorized Contact | CORY JAMES Owner 504-875-9680 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: LA PHY.007235-IR) |
Additional Taxonomies | 332100000X Department of Veterans Affairs (VA) Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2016-01-11 |
Last Update Date | 2024-10-31 |