Provider Demographics
NPI:1104971381
Name:CARMICHAEL'S CASHWAY PHARMACY, INC.
Entity type:Organization
Organization Name:CARMICHAEL'S CASHWAY PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRON
Authorized Official - Suffix:
Authorized Official - Credentials:CPA, CGMA
Authorized Official - Phone:337-785-3182
Mailing Address - Street 1:1002 N PARKERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-3613
Mailing Address - Country:US
Mailing Address - Phone:337-783-7200
Mailing Address - Fax:337-788-0170
Practice Address - Street 1:1472 S COLLEGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2921
Practice Address - Country:US
Practice Address - Phone:337-234-0085
Practice Address - Fax:337-261-0760
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARMICHAEL'S CASHWAY PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-25
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA619110002332BN1400X, 332BP3500X, 332B00000X
LA06191100002332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LADME.000748OtherDME PERMIT
LA2406957Medicaid
LADME.000748OtherDME PERMIT