National Provider Identifier Database

RED RIVER PHARMACY OF JONESBORO LLC
Nuclear Pharmacy

A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures.

Contact Information

RED RIVER PHARMACY OF JONESBORO LLC
2908 S CARAWAY RD
JONESBORO, AR  72401-7346
Phone: 870-336-2195
Fax: 870-336-2197
Website:
Specialty Taxonomy Code
* Nuclear Pharmacy 3336N0007X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Infusion 251F00000X
Home Infusion Therapy Pharmacy 3336H0001X
Parenteral & Enteral Nutrition 332BP3500X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for RED RIVER PHARMACY OF JONESBORO LLC

NPI Number 1609323922
Legal business name
LBN		 RED RIVER PHARMACY OF JONESBORO LLC
Authorized official DAVID BOUDREAUX - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/02/2016
Last updated 05/07/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: AR20653
  • Other: 2164238 PK
  • Other: 7627810001 PTAN

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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