MEDICARE: MR. RANDALL CASHIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	14591	LA

General Provider Information

NPI Number	:	1134528334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RANDALL CASHIO

Provider Business Mailing Address
First Line	:	460 HOSPITAL RD
Second Line	:
City	:	NEW ROADS
State	:	LA
Zip	:	70760-2623
Country	:	US
Telephone Number	:	225-638-8616
Fax Number	:	225-638-7862

Provider Business Practice Location Address
First Line	:	460 HOSPITAL RD
Second Line	:
City	:	NEW ROADS
State	:	LA
Zip	:	70760-2623
Country	:	US
Telephone Number	:	225-638-8616
Fax Number	:	225-638-7862

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	08/14/2014

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Directions to “ MR. RANDALL CASHIO ” Practice Location

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