Red River Pharmacy Of Texarkana

LBN: Red River Pharmacy Services Inc
Red River Pharmacy Of Texarkana is an health care organization with primary practice located at 1550 Moores Ln Ste B , Texarkana TX 75503-4657. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Red River Pharmacy Services Inc can be contacted via phone (903) 792-7435, or through Boudreaux, David via phone (903) 792-7435.

Contact Information

Primary practice address
1550 Moores Ln Ste B Texarkana TX 75503-4657
Fax: (903) 793-0485
Website:
Authorized official contact:
Name: Boudreaux, David RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1194093401
LBN Legal business name Red River Pharmacy Services Inc
DBA Doing business as Red River Pharmacy Of Texarkana
Authorized official Boudreaux, David RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2011
Last updated Jun 24th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194093401 NPPES
Texas Other 33819 STATE BOARD OF PHARMACY

Popular Providers