Organization · Type 2 NPI

Red River Pharmacy Long Term Care, LLC

Long Term Care Pharmacy · Texarkana, TX

NPI number 1407106578 Active

Practice location

1550 Moores Ln Ste A
Texarkana, TX 75503-4657

Fax (903) 792-2241

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	28137 (TX)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other long term care pharmacy providers in Texarkana

Red River Pharmacy ServicesLong Term Care Pharmacy Texarkana, TX NPI 1336225002

See all in Texarkana →

NPI record

NPI: 1407106578
Entity type: Organization (Type 2)
Issued: Sep 14, 2012
Last updated: Oct 30, 2020
Status: Active

Other names

<unavail>
Red River Pharmacy LTC · doing business as
Red River Pharmacy LTC · doing business as

Authorized official

Mr. David Boudreaux, RPH
Owner/president
(903) 792-1721

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407106578

Red River Pharmacy Long Term Care, LLC's National Provider Identifier is 1407106578, issued on Sep 14, 2012. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Texarkana, TX. The record was last updated on Oct 30, 2020.