Red River Ltc Of Tyler

LBN: Red River Pharmacy Long Term Care, Llc
Red River Ltc Of Tyler is an health care organization with primary practice located at 4801 Troup Hwy Suite 402, Tyler TX 75703-2356. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Red River Pharmacy Long Term Care, Llc can be contacted via phone (903) 617-6885, or through Boudreaux, David via phone (903) 792-1721.

Contact Information

Primary practice address
4801 Troup Hwy Suite 402 Tyler TX 75703-2356
Phone: (903) 617-6885
Fax: (844) 308-8629
Website:
Map and Directions
Authorized official contact:
Name: Boudreaux, David
Phone: (903) 792-1721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 28138 Texas

Profile Details

NPI number 1447500590
LBN Legal business name Red River Pharmacy Long Term Care, Llc
DBA Doing business as Red River Ltc Of Tyler
Authorized official Boudreaux, David
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2012
Last updated May 31st, 2022 - 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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