Provider Demographics
NPI:1548404437
Name:CARMICHAEL'S PHARMACY
Entity Type:Organization
Organization Name:CARMICHAEL'S PHARMACY
Other - Org Name:CARMICHAEL'S PHARMACY - INFUSION
Other - Org Type:Doing Business As
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 1:1472 SOUTH COLLEGE
Practice Address - Street 2:SUITE 102-B
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503
Practice Address - Country:US
Practice Address - Phone:337-234-0085
Practice Address - Fax:337-234-8535
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
LA6046 IR3336C0004X, 3336H0001X, 3336I0012X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0619110002OtherMEDICARE
LA6046 IROtherLOUISIANA PHARMACY PERMIT
LA1268119Medicaid
1929756OtherNCPDP
LA6046 IROtherLOUISIANA PHARMACY PERMIT