Provider Demographics
NPI:1639290182
Name:C & F PHARMACY, INC.
Entity Type:Organization
Organization Name:C & F PHARMACY, INC.
Other - Org Name:C AND F PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER / OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:985-732-6228
Mailing Address - Street 1:424 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-3820
Mailing Address - Country:US
Mailing Address - Phone:985-725-2501
Mailing Address - Fax:985-732-2124
Practice Address - Street 1:424 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3820
Practice Address - Country:US
Practice Address - Phone:985-725-2501
Practice Address - Fax:985-732-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
LAC001789IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1250635Medicaid
2030847OtherPK