Healthcare Provider Details

I. General information

NPI: 1386031235
Provider Name (Legal Business Name): CARMICHAEL'S CASHWAY PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4809 AMBASSADOR CAFFERY PKWY SUITE 220
LAFAYETTE LA
70508-8800
US

IV. Provider business mailing address

1002 N PARKERSON AVE
CROWLEY LA
70526-3613
US

V. Phone/Fax

Practice location:
  • Phone: 337-412-6205
  • Fax: 337-456-4504
Mailing address:
  • Phone: 337-783-7200
  • Fax: 337-783-8996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0619110005
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number0619110005
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0619110005
License Number StateLA

VIII. Authorized Official

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