Organization
RED RIVER PHARMACY LONG TERM CARE, LLC
Active
Other names
Red River Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BOUDREAUX RPH (OWNER/PRESIDENT)
(903) 792-1721
Entity
Organization
Contact information
Practice address
1550 MOORES LN STE A, TEXARKANA, TX 75503-4657
(903) 792-1721
(903) 792-2241
Mailing address
1550 MOORES LN STE A, TEXARKANA, TX 75503-4657
(903) 792-1721
(903) 792-2241
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28137
TX
Other
Enumeration date
09/14/2012
Last updated
10/30/2020
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