Organization
COLISTICS INC
Active
Other names
Colistics Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CORY JAMES (OWNER)
(504) 361-5650
Entity
Organization
Contact information
Practice address
2901 GENERAL DEGAULLE DR STE 101, NEW ORLEANS, LA 70114-6443
(504) 361-5650
(844) 230-5490
Mailing address
2925 SAINT THOMAS ST, NEW ORLEANS, LA 70115-1033
(504) 875-9680
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
PHY.007235-IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157386
PK
—
05
—
2204106
—
LA
Enumeration date
01/11/2016
Last updated
07/03/2025
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