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Organization
CASHWAY PHARMACY OF JEANERETTE, LA. INC.
Active
Organization
CASHWAY PHARMACY OF JEANERETTE, LA. INC.
Active
Other names
Cashway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY ALLEN FREDERICK (PRESIDENT)
(337) 276-4101
Entity
Organization
Contact information
Practice address
1801 MAIN ST, JEANERETTE, LA 70544-3423
(337) 276-4101
(337) 276-9005
Mailing address
1801 MAIN ST, JEANERETTE, LA 70544-3423
(337) 276-4101
(337) 276-9005
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
C000140-IR
LA
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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