Organization
RED RIVER RX SOLUTIONS, LLC
Active
Other names
Red River Rx Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE LAKE (MEMBER)
(405) 509-2952
Entity
Organization
Contact information
Practice address
125 E 3RD ST STE C, EDMOND, OK 73034-3822
(405) 509-2952
(405) 509-2984
Mailing address
PO BOX 1160, EDMOND, OK 73083-1160
(405) 509-2952
(405) 509-2984
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1-6361
OK
3336C0004X
Compounding Pharmacy
Primary
1-6361
OK
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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