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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1207624
—
LA
Enumeration date
09/15/2006
Last updated
08/22/2020
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