RED RIVER PHARMACY LONG TERM CARE LLC NPI 1407106578

NPI Details

RED RIVER PHARMACY LONG TERM CARE, LLC is a long term care pharmacy pharmacy in Texarkana, 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 1407106578. The provider is registered as an organization entity type.
The provider Is Doing Business As Red River Pharmacy Ltc.

The provider's business location address is:

1550 MOORES LN STE A
TEXARKANA, TX
ZIP 75503-657
Phone: (903) 792-1721
Fax: (903) 792-2241

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

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Fee covid-19 vac 14 res (HCPCS:0134A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 9/14/2012 and was last updated on 10/30/2020.

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: