Organization
CARMICHAEL'S PHARMACY IHP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGEL BARRON CPA, CGMA (CFO)
(337) 785-3182
Entity
Organization
Contact information
Practice address
1725 W SALE RD, LAKE CHARLES, LA 70605-2521
(337) 474-7000
(337) 474-7088
Mailing address
1002 N PARKERSON AVE, CROWLEY, LA 70526-3613
(337) 783-7200
(337) 783-8996
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
6051 IR
LA
3336H0001X
Home Infusion Therapy Pharmacy
6051 IR
LA
3336I0012X
Institutional Pharmacy
6051 IR
LA
3336L0003X
Long Term Care Pharmacy
Primary
6051 IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619110003
MEDICARE
—
05
—
1271411
—
LA
01
—
1928019
NCPDP
—
01
—
6051 IR
LOUISIANA PHARMACY PERMIT
LA
Enumeration date
04/23/2009
Last updated
02/07/2024
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