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Organization
RED RIVER PHARMACY SERVICES
Active
Organization
RED RIVER PHARMACY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASEN TATE CREEK R.PH. (PHARMACIST IN CHARGE)
(903) 792-1721
Entity
Organization
Contact information
Practice address
1327 COLLEGE DR, SUITE A, TEXARKANA, TX 75503-3531
(903) 792-1721
(903) 792-2241
Mailing address
1327 COLLEGE DR, SUITE A, TEXARKANA, TX 75503-3531
(903) 792-1721
(903) 792-2241
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
23886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145562
—
TX
Enumeration date
10/27/2006
Last updated
08/27/2012
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