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Organization
RED RIVER PHARMACY LONG TERM CARE, LLC
Active
Organization
RED RIVER PHARMACY LONG TERM CARE, LLC
Active
Other names
Red River LTC of Tyler
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BOUDREAUX (PRESIDENT/OWNER)
(903) 792-1721
Entity
Organization
Contact information
Practice address
4801 TROUP HWY, SUITE 402, TYLER, TX 75703-2356
(903) 617-6885
(844) 308-8629
Mailing address
1550 MOORES LN STE A, TEXARKANA, TX 75503-4657
(903) 617-6885
(903) 617-6972
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28138
TX
Other
Enumeration date
09/17/2012
Last updated
05/31/2022
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