Provider Demographics
NPI:1942354287
Name:CARMICHAEL'S CASHWAY PHARMACY, INC.
Entity Type:Organization
Organization Name:CARMICHAEL'S CASHWAY PHARMACY, INC.
Other - Org Name:CARMICHAEL'S LTC OF CROWLEY
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:337-788-0170
Practice Address - Street 1:1004 N PARKERSON AVE
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526
Practice Address - Country:US
Practice Address - Phone:337-785-3102
Practice Address - Fax:337-785-3109
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARMICHAEL'S CASHWAY PHARMACY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-23
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPHY.006015-IR333600000X, 3336I0012X, 3336L0003X
LA3336S0011X, 3336L0003X
LA60153336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAPHY.006015-IROtherPHARMACY PERMIT
LA1234745Medicaid
LA1932501OtherNCPDP PROVIDER NUMBER
LACDS.039198-PHYOtherCDC LICENSE
LA1932501OtherNCPDP PROVIDER NUMBER
LA1260142Medicaid
LA6015OtherLOUISIANA PHARMACY PERMIT
LA0156400001Medicare NSC