Organization
RED RIVER PHARMACY LONG TERM CARE, LLC
Active
Other names
Red River Infusion Pharmacy of Tyler
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BRULE (DIRECTOR OF BUSINESS)
(903) 792-7435
Entity
Organization
Contact information
Practice address
4801 TROUP HWY STE 401, TYLER, TX 75703-2358
(903) 617-6885
Mailing address
1550 MOORES LN STE A, TEXARKANA, TX 75503-4657
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
08/26/2021
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