Provider Demographics
NPI:1942798137
Name:DUSON'S CASHWAY PHARMACY
Entity Type:Organization
Organization Name:DUSON'S CASHWAY PHARMACY
Other - Org Name:DUSON'S CASHWAY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANTIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-988-6519
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:DUSON'S CASHWAY PHARMACY INC
Mailing Address - City:SCOTT
Mailing Address - State:LA
Mailing Address - Zip Code:70583-0340
Mailing Address - Country:US
Mailing Address - Phone:337-322-7383
Mailing Address - Fax:337-322-7383
Practice Address - Street 1:110 W. FIRST STREET STE B
Practice Address - Street 2:
Practice Address - City:DUSON
Practice Address - State:LA
Practice Address - Zip Code:70529
Practice Address - Country:US
Practice Address - Phone:337-233-2003
Practice Address - Fax:337-233-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
LAPHY007667IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2177189OtherPK