Healthcare Provider Details

I. General information

NPI: 1528083326
Provider Name (Legal Business Name): CARMICHAEL'S CASHWAY PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
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: 337-474-7000
  • Fax: 337-310-0064
Mailing address:
  • Phone: 337-783-7200
  • Fax: 337-788-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

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