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
(501) 907-6505
Mailing address
1550 MOORES LN, TEXARKANA, TX 75503-4657
(501) 907-8949
(501) 907-6505
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
08/14/2019
Last updated
10/11/2023
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