Provider Demographics
NPI:1215963665
Name:SUNSET PHARMACY, INC
Entity type:Organization
Organization Name:SUNSET PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:KASEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:CARRET
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:337-662-5298
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:SUNSET
Mailing Address - State:LA
Mailing Address - Zip Code:70584-0036
Mailing Address - Country:US
Mailing Address - Phone:337-662-5298
Mailing Address - Fax:337-662-5556
Practice Address - Street 1:907 NAPOLEON AVE
Practice Address - Street 2:
Practice Address - City:SUNSET
Practice Address - State:LA
Practice Address - Zip Code:70584-6100
Practice Address - Country:US
Practice Address - Phone:337-662-5298
Practice Address - Fax:337-662-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1253782Medicaid
LA1253782Medicaid