NPI | 1356455638 |
---|---|
Doing Business As | RED RIVER INFUSION PHARMACY OF TEXARKANA |
Entity Type | Organization |
Authorized Contact | DAVID BOUDREAUX Owner 903-792-7435 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 18696) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 18696) |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 18696) | |
333600000X Pharmacy | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2023-01-23 |