# ROSEPINE FAMILY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROSEPINE FAMILY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114031192
- **Authorized official:** MATTHEW PETERSON (OWNER)
- **Authorized official phone:** (337) 462-0177

## Contact information

- **Practice address:** 18507 CENTRAL AVE, ROSEPINE, LA 70659
- **Practice address phone:** (337) 462-0177
- **Practice address fax:** (337) 462-0078
- **Mailing address:** PO BOX 408, ROSEPINE, LA 70659-0408
- **Mailing address phone:** (337) 462-0177
- **Mailing address fax:** (337) 462-0078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.002000-IR | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 07/11/2016