National Provider Identifier Database

RED RIVER PHARMACY OF LITTLE ROCK
Home Infusion


Contact Information

RED RIVER PHARMACY OF LITTLE ROCK
1515 S BOWMAN RD STE B
LITTLE ROCK, AR72211-4227
Phone: 501-907-8949
Fax: 870-907-5453
Website:
Specialty Taxonomy Code
* Home Infusion 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Infusion Therapy Pharmacy 3336H0001X
Parenteral & Enteral Nutrition 332BP3500X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for RED RIVER PHARMACY OF LITTLE ROCK

NPI Number 1629525944
Legal business name
LBN
RED RIVER PHARMACY OF LITTLE ROCK
Authorized official ROBIN BRULE - (BUSINESS DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/02/2016
Last updated 05/05/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: AR20687
  • AR Medicaid: 218342407
  • Other: 2165955 PK
  • AR Other: 7625880001 NSC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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