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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
3336C0003X
Community/Retail Pharmacy
Primary
PHY.002000-IR
LA
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1256340
LA
01
2032133
PK
Enumeration date
08/18/2006
Last updated
07/11/2016
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