Provider Demographics
NPI:1346243177
Name:CASHWAY PHARMACY OF FRANKLIN, INC.
Entity Type:Organization
Organization Name:CASHWAY PHARMACY OF FRANKLIN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BERGERON
Authorized Official - Suffix:IV
Authorized Official - Credentials:BS
Authorized Official - Phone:337-828-0950
Mailing Address - Street 1:1419 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:LA
Mailing Address - Zip Code:70538-3722
Mailing Address - Country:US
Mailing Address - Phone:337-828-0950
Mailing Address - Fax:337-828-4983
Practice Address - Street 1:1419 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70538-3722
Practice Address - Country:US
Practice Address - Phone:337-828-0950
Practice Address - Fax:337-828-4983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3466-IR333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1905299OtherNABP
LA3466-IROtherPHARMACY LICENSE
LA1263923Medicaid
LABC5069275OtherDEA
LA1905299OtherNABP