MEDICARE: CASHWAY PHARMACY OF FRANKLIN, INC.

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	333600000X	Pharmacy	3466-IR	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1905299	OTHER	LA	NABP
2	3466-IR	OTHER	LA	PHARMACY LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346243177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASHWAY PHARMACY OF FRANKLIN, INC.

Provider Business Mailing Address
First Line	:	1419 HOSPITAL AVE
Second Line	:
City	:	FRANKLIN
State	:	LA
Zip	:	70538-3722
Country	:	US
Telephone Number	:	337-828-0950
Fax Number	:	337-828-4983

Provider Business Practice Location Address
First Line	:	1419 HOSPITAL AVE
Second Line	:
City	:	FRANKLIN
State	:	LA
Zip	:	70538-3722
Country	:	US
Telephone Number	:	337-828-0950
Fax Number	:	337-828-4983

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. OSCAR JOSEPH BERGERON IV
Credential	:	BS
Telephone Number	:	337-828-0950

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/07/2023

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