Organization
RED RIVER PHARMACY OF LITTLE ROCK
Active
Other names
Red River Infusion Pharmacy of Little Rock
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BRULE (BUSINESS DIRECTOR)
(903) 792-7435
Entity
Organization
Contact information
Practice address
1515 S BOWMAN RD STE B, LITTLE ROCK, AR 72211-4227
(501) 907-8949
(870) 907-5453
Mailing address
1550 MOORES LN, TEXARKANA, TX 75503-4657
(903) 792-7435
(903) 793-0485
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
AR20687
AR
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
AR20687
AR
333600000X
Pharmacy
AR20687
AR
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165955
PK
—
05
—
218342407
—
AR
01
—
7625880001
NSC
AR
Enumeration date
09/02/2016
Last updated
05/05/2025
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