# KINDER FAMILY PHARMACY, LLC

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

## Provider details

- **NPI number:** 1528506177
- **Authorized official:** MATTHEW PETERSON (OWNER)
- **Authorized official phone:** (337) 462-0177

## Contact information

- **Practice address:** 904 4TH AVE, KINDER, LA 70648-0430
- **Practice address phone:** (337) 738-2531
- **Practice address fax:** (337) 738-3049
- **Mailing address:** PO BOX 430, KINDER, LA 70648-0430
- **Mailing address phone:** (337) 738-2531
- **Mailing address fax:** (337) 738-3049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 7412 | LA | Yes |

## Other

- **Enumeration date:** 02/03/2017
- **Last updated:** 02/03/2017