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General NPI Number Information
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NPI Number | 1912077884
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Entity Type | Organization
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Legal Business Name | CASHWAY PHARMACY OF ERATH L.L.C.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 112 E EDWARD ST
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City | ERATH
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State | LA
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Zip | 70533-4108
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Country | US
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Telephone | 337-937-8333
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Fax | 337-937-8376
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Provider Business Mailing Address
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Address Line | 112 E EDWARD ST
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City | ERATH
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State | LA
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Zip | 70533-4108
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Country | US
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Telephone | 337-937-8333
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Fax | 337-937-8376
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. PAUL STUTES
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Credential |
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Telephone | 337-937-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2667IR
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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