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Organization
ROSEPINE FAMILY PHARMACY INC
Active
Organization
ROSEPINE FAMILY PHARMACY INC
Active
Other names
ROSEPINE FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PETERSON (OWNER)
(337) 462-0177
Entity
Organization
Contact information
Practice address
18507 CENTRAL AVE, ROSEPINE, LA 70659
(337) 462-0177
(337) 462-0078
Mailing address
PO BOX 408, ROSEPINE, LA 70659-0408
(337) 462-0177
(337) 462-0078
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.002000-IR
LA
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Enumeration date
08/18/2006
Last updated
07/11/2016
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