Organization · Type 2 NPI

Red River Pharmacy of Little Rock

Customized Equipment (DME) · Little Rock, AR

NPI number 1679129704 Active

Practice location

1515 S Bowman Rd Ste B
Little Rock, AR 72211-4227

Call (501) 907-8949 Map

Fax (501) 907-6505

Mailing address

1550 Moores Ln
Texarkana, TX 75503-4657

Specialties and licenses

Taxonomy	Code	License
Customized Equipment (DME) Primary	332BC3200X	None listed
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	None listed

Customized Equipment (DME): Definition to come...

2 other providers at this address

Red River Pharmacy of Little RockHome Infusion Agency Little Rock, AR NPI 1629525944
Red River Pharmacy of Little Rock LLCHome Infusion Therapy Pharmacy Little Rock, AR NPI 1770179533

Other customized equipment (dme) providers in Little Rock

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NPI record

NPI: 1679129704
Entity type: Organization (Type 2)
Issued: Aug 14, 2019
Last updated: Oct 11, 2023
Status: Active

Other names

<unavail>
Red River Infusion Pharmacy of Little Rock · doing business as
Red River Infusion Pharmacy of Little Rock · doing business as

Authorized official

Robin Brule
Business Director
(903) 792-7435

Verify this record

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 1679129704

Red River Pharmacy of Little Rock's National Provider Identifier is 1679129704, issued on Aug 14, 2019. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Little Rock, AR. The record was last updated on Oct 11, 2023.