Organization
CARMICHAEL'S LTC OF CROWLEY
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
1004 N PARKERSON AVE, CROWLEY, LA 70526-3613
(337) 785-3102
(337) 785-3109
Mailing address
1004 N PARKERSON AVE, CROWLEY, LA 70526-3613
(337) 785-3102
(337) 785-3109
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
6015 IR
LA
3336L0003X
Long Term Care Pharmacy
Primary
6015 IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619110004
MEDICARE
—
05
—
1260142
—
LA
01
—
1932501
NCPDP
—
01
—
6015 IR
LOUISIANA PHARMACY PERMIT
LA
Enumeration date
04/23/2009
Last updated
02/07/2024
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