Red River Infusion Pharmacy Of Texarkana

LBN: Red River Pharmacy Services Inc
Red River Infusion Pharmacy Of Texarkana is an health care organization with primary practice located at 1550 Moores Ln Ste D , Texarkana TX 75503-4657. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy 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 D Texarkana TX 75503-4657
Phone: (903) 792-7435
Fax: (903) 793-0485
Website:
Map and Directions
Authorized official contact:
Name: Boudreaux, David RPH
Phone: (903) 792-7435

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 18696 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 18696 Texas
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 18696 Texas

Profile Details

NPI number 1356455638
LBN Legal business name Red River Pharmacy Services Inc
DBA Doing business as Red River Infusion Pharmacy Of Texarkana
Authorized official Boudreaux, David RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated Jan 23rd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356455638 NPPES
Other 2094045 PK
MEDICAID 320233 PK

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