Rosephine Family Vital Care

LBN: Rosephine Family Pharmacy, Inc
Rosephine Family Vital Care is an health care organization with primary practice located at 18507 Central Ave , Rosephine LA 70659. The organization recently has 10 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Rosephine Family Pharmacy, Inc can be contacted via phone (337) 462-0177, or through Peterson, Matthew Dale via phone (337) 462-0177.

Contact Information

Primary practice address
18507 Central Ave Rosephine LA 70659
Phone: (337) 462-0177
Fax: (337) 462-0078
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Matthew Dale
Phone: (337) 462-0177

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 20000-IR Louisiana
Suppliers / Customized Equipment 332BC3200X 20000-IR Louisiana
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 20000-IR Louisiana
Suppliers / Oxygen Equipment & Supplies 332BX2000X 20000-IR Louisiana
Suppliers / Pharmacy 333600000X 20000-IR Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X 20000-IR Louisiana
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 20000-IR Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X 20000-IR Louisiana
Suppliers / Mail Order Pharmacy 3336M0002X 20000-IR Louisiana
Suppliers / Specialty Pharmacy 3336S0011X 20000-IR Louisiana

Profile Details

NPI number 1609979954
LBN Legal business name Rosephine Family Pharmacy, Inc
DBA Doing business as Rosephine Family Vital Care
Authorized official Peterson, Matthew Dale
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609979954 NPPES
Texas MEDICAID 599232
Texas MEDICAID 1256340

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