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RED RIVER PHARMACY LONG TERM CARE LLC NPI 1447500590


NPI Information

NPI: 1447500590
Provider Name: RED RIVER PHARMACY LONG TERM CARE, LLC

Doing Business As: RED RIVER LTC OF TYLER

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
4801 TROUP HWY
SUITE 402
TYLER, TX
ZIP 75703
Phone: (903) 617-6885
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RED RIVER PHARMACY LONG TERM CARE, LLC is a long term care pharmacy pharmacy in Tyler, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. RED RIVER PHARMACY LONG TERM CARE, LLC NPI is 1447500590. The provider is registered as an organization entity type.
The provider Is Doing Business As Red River Ltc Of Tyler.

The provider's business location address is:

4801 TROUP HWY
SUITE 402
TYLER, TX
ZIP 75703-356
Phone: (903) 617-6885
Fax: (844) 308-8629

The provider's authorized official is David Boudreaux .
The authorized official title is President/owner and has the following contact phone number (903) 792-1721.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 5/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care Pharmacy28138TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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