Red River Pharmacy Services

LBN: Red River Pharmacy Services
Red River Pharmacy Services is an health care organization with primary practice located at 1327 College Dr Suite A, Texarkana TX 75503-3531. 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 Services can be contacted via phone (903) 792-1721, or through Creek, Jasen Tate via phone (903) 792-1721.

Contact Information

Primary practice address
1327 College Dr Suite A Texarkana TX 75503-3531
Phone: (903) 792-1721
Fax: (903) 792-2241
Website:
Map and Directions
Authorized official contact:
Name: Creek, Jasen Tate R.PH.
Phone: (903) 792-1721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 23886 Texas

Profile Details

NPI number 1336225002
LBN Legal business name Red River Pharmacy Services
DBA Doing business as
Authorized official Creek, Jasen Tate R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 27th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336225002 NPPES
Texas MEDICAID 145562

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