# CASHWAY PHARMACY OF JEANERETTE, LA. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cashway Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023114204
- **Authorized official:** MR. TERRY ALLEN FREDERICK (PRESIDENT)
- **Authorized official phone:** (337) 276-4101

## Contact information

- **Practice address:** 1801 MAIN ST, JEANERETTE, LA 70544-3423
- **Practice address phone:** (337) 276-4101
- **Practice address fax:** (337) 276-9005
- **Mailing address:** 1801 MAIN ST, JEANERETTE, LA 70544-3423
- **Mailing address phone:** (337) 276-4101
- **Mailing address fax:** (337) 276-9005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | C000140-IR | LA | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/22/2020