Organization
RED RIVER PHARMACY SERVICES INC
Active
Other names
Red River Infusion Pharmacy of Texarkana
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BOUDREAUX RPH (OWNER)
(903) 792-7435
Entity
Organization
Contact information
Practice address
1550 MOORES LN STE D, TEXARKANA, TX 75503-4657
(903) 792-7435
(903) 793-0485
Mailing address
1550 MOORES LN, TEXARKANA, TX 75503-4657
(903) 792-7435
(903) 793-0485
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
18696
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
18696
TX
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
18696
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200003720
—
OK
01
—
2094045
PK
—
05
—
2211226
—
LA
05
—
320233
—
TX
Enumeration date
08/17/2006
Last updated
04/09/2025
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