NPI | 1407106578 |
---|---|
Doing Business As | RED RIVER PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | DAVID BOUDREAUX Owner/President 903-792-1721 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 28137) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2020-10-30 |