Provider Demographics
NPI:1093959983
Name:CARMICHAEL'S PHARMACY IHP
Entity Type:Organization
Organization Name:CARMICHAEL'S PHARMACY IHP
Other - Org Name:
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:337-783-8996
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:337-474-7088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6051 IR3336C0004X, 3336H0001X, 3336I0012X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA6051 IROtherLOUISIANA PHARMACY PERMIT
1928019OtherNCPDP
0619110003OtherMEDICARE
LA1271411Medicaid
FC1110698OtherDEA