NPI | 1194093401 |
---|---|
Doing Business As | RED RIVER PHARMACY OF TEXARKANA |
Entity Type | Organization |
Authorized Contact | DAVID BOUDREAUX President 903-792-7435 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2011-12-01 |
Last Update Date | 2021-06-24 |