Rosepine Family Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Rosepine, LA
NPI 1114031192 · NPPES record last updated Jul 11, 2016
Key facts
- NPI
- 1114031192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY.002000-IR (LA)
- Legal business name
- ROSEPINE FAMILY PHARMACY INC
- Practice address
- 18507 Central Ave
Rosepine, LA 70659 - Phone
- (337) 462-0177
- Fax
- (337) 462-0078
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Matthew Peterson
- Title
- Owner
- Phone
- (337) 462-0177
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY.002000-IR | LA | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
18507 Central Ave
Rosepine, LA 70659
Mailing address
PO Box 408
Rosepine, LA 70659-0408
Phone (337) 462-0177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2032133 | Other | PK | |
| 1256340 | Medicaid | LA |
Other names
- ROSEPINE FAMILY PHARMACY
Other providers in Rosepine, LA
- Rhonda Kay Legendre
- Life at Home LLC
- Life at Home LLC
- Rachel Peterson
- Brenda J Primeaux
- Rosepine Retirement & Rehabilitation Center, LLC
- Sunshine Speech Therapy, LLC
- The Draw Station LLC
All providers in Rosepine, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.