OrganizationActive
Rosephine Family Pharmacy, Inc
NPI 1609979954 · Specialty Pharmacy · Rosephine, LA
Provider details
- NPI number
- 1609979954
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Matthew Peterson, Manager(337) 462-0177
- License
- 20000-IR (LA)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Suppliers
Suppliers
Suppliers
Practice location
18507 Central Ave
Rosephine, LA 70659
Phone: (337) 462-0177
Fax: (337) 462-0078
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5047
Meridian, MS 39302-5047
Other names (DBA / former)
- Doing business as
- Rosephine Family Vital Care
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.