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A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nuclear Pharmacy |
3336N0007X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Home Infusion |
251F00000X | |||
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 |
| NPI Number | 1609323922 |
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| LBN Legal business name | RED RIVER PHARMACY OF JONESBORO LLC | ||||||||||||
| Authorized official | DAVID BOUDREAUX - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 09/02/2016 | ||||||||||||
| Last updated | 05/07/2025 - More than a year ago | ||||||||||||
| Identifiers |
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RED RIVER PHARMACY OF JONESBORO LLC