Healthcare Provider Details

I. General information

NPI: 1346255932
Provider Name (Legal Business Name): CARMICHAEL'S CASHWAY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 W SALE RD
LAKE CHARLES LA
70605-2521
US

IV. Provider business mailing address

1002 N PARKERSON AVE
CROWLEY LA
70526-3613
US

V. Phone/Fax

Practice location:
  • Phone: 337-475-2701
  • Fax: 337-474-7088
Mailing address:
  • Phone: 337-783-7200
  • Fax: 337-783-8996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number0619110003
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0619110003
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0619110003
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY.006051-IR
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPHY.006051-IR
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberPHY.006051-IR
License Number StateLA
# 7
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPHY.006051-IR
License Number StateLA
# 8
Primary TaxonomyN
Taxonomy Code332800000X
TaxonomyIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
License NumberPHY.006051-IR
License Number StateLA
# 9
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0619110003
License Number StateLA
# 10
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPHY.006051-IR
License Number StateLA

VIII. Authorized Official

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