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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 Specialty Code Provider Type

Home Infusion

251F00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RED RIVER PHARMACY OF LITTLE ROCK

NPI # 1629525944
LBN Legal business name RED RIVER PHARMACY OF LITTLE ROCK
Authorized official ROBIN BRULE - (BUSINESS DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/02/2016
Last updated 05/05/2025 - More than a year ago
Identifiers
AR License # AR20687
AR Medicaid 218342407
Other 2165955 PK
AR Other 7625880001 NSC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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