Provider Demographics
NPI:1528083326
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 1:1725 W SALE RD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-2521
Practice Address - Country:US
Practice Address - Phone:337-474-7000
Practice Address - Fax:337-310-0064
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARMICHAEL'S CASHWAY PHARMACY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-13
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========-006OtherTRICARE HIT
LA=========0OtherBCBS DME
LA5ZCG83Medicare ID - Type UnspecifiedPART B
=========-006OtherHUMNANMILITA
LA=========AOtherBCBS HIT