Organization
RED RIVER PHARMACY SERVICES INC
Active
Other names
Red River Pharmacy of Texarkana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BOUDREAUX RPH (PRESIDENT)
(903) 792-7435
Entity
Organization
Contact information
Practice address
1550 MOORES LN STE B, TEXARKANA, TX 75503-4657
(903) 792-7435
(903) 793-0485
Mailing address
1550 MOORES LN STE B, TEXARKANA, TX 75503-4657
(903) 792-7435
(903) 793-0485
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33819
STATE BOARD OF PHARMACY
TX
Enumeration date
12/01/2011
Last updated
06/24/2021
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