Healthcare Provider Details

I. General information

NPI: 1346243177
Provider Name (Legal Business Name): CASHWAY PHARMACY OF FRANKLIN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 HOSPITAL AVE
FRANKLIN LA
70538-3722
US

IV. Provider business mailing address

1419 HOSPITAL AVE
FRANKLIN LA
70538-3722
US

V. Phone/Fax

Practice location:
  • Phone: 337-828-0950
  • Fax: 337-828-4983
Mailing address:
  • Phone: 337-828-0950
  • Fax: 337-828-4983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number3466-IR
License Number StateLA

VIII. Authorized Official

Name: MR. OSCAR JOSEPH BERGERON IV
Title or Position: MANAGER
Credential: BS
Phone: 337-828-0950