Healthcare Provider Details

I. General information

NPI: 1194969089
Provider Name (Legal Business Name): CARMICHAEL'S CASHWAY PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 N PARKERSON AVE
CROWLEY LA
70526-3613
US

IV. Provider business mailing address

1002 N PARKERSON AVE
CROWLEY LA
70526-3613
US

V. Phone/Fax

Practice location:
  • Phone: 337-783-7200
  • Fax: 337-788-0170
Mailing address:
  • Phone: 337-783-7200
  • Fax: 337-788-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number6016 IR
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number6016 IR
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number6016 IR
License Number StateLA

VIII. Authorized Official

Name: MRS. ANGEL BARRON
Title or Position: CFO
Credential: CPA, CGMA
Phone: 337-785-3182