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Contact Information

ROSEPINE FAMILY PHARMACY INC
18507 CENTRAL AVE
ROSEPINE, LA70659
 Phone: 337-462-0177
 Fax: 337-462-0078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ROSEPINE FAMILY PHARMACY INC

NPI Number 1114031192
LBN Legal business name ROSEPINE FAMILY PHARMACY INC
Authorized official MATTHEW PETERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 07/11/2016 - About 10 years ago
Identifiers
LA License # PHY.002000-IR
LA Medicaid 1256340
Other 2032133 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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