Red River Infusion Pharmacy Of Little Rock

LBN: Red River Pharmacy Of Little Rock
Red River Infusion Pharmacy Of Little Rock is an health care organization with primary practice located at 1515 S Bowman Rd Ste B , Little Rock AR 72211-4227. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Agencies / Home Infusion is the primary health care specialty. Red River Pharmacy Of Little Rock can be contacted via phone (501) 907-8949, or through Brule, Robin via phone (903) 792-7435.

Contact Information

Primary practice address
1515 S Bowman Rd Ste B Little Rock AR 72211-4227
Fax: (870) 907-5453
Website:
Authorized official contact:
Name: Brule, Robin

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X AR20687 Arkansas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X AR20687 Arkansas
Suppliers / Pharmacy 333600000X AR20687 Arkansas
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1629525944
LBN Legal business name Red River Pharmacy Of Little Rock
DBA Doing business as Red River Infusion Pharmacy Of Little Rock
Authorized official Brule, Robin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2016
Last updated Oct 11th, 2023 - about last year

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 1629525944 NPPES
Arkansas MEDICAID 218342407
Arkansas Other 7625880001
Arkansas Other 2165955

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