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Red River Pharmacy Long Term Care, LLC

Long Term Care Pharmacy in Tyler, TX · enumerated 2012 · authorized official David Boudreaux, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447500590

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Registry record

Entity type Organization (Type 2)
Legal business name Red River Pharmacy Long Term Care, LLC
Other name <Unavail>
Practice address 4801 Troup Hwy, Suite 402, Tyler, TX, 75703
Phone (903) 617-6885
Fax (844) 308-8629
Enumeration date Sep 17, 2012
Last updated in NPPES May 31, 2022

Taxonomy & classification

3336L0003X Long Term Care Pharmacy Suppliers · License 28138 (TX) Primary

Authorized official

Name David Boudreaux
Title President/Owner
Phone (903) 792-1721

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Red River Pharmacy Long Term Care, LLC located?
The practice location on file with NPPES is in Tyler, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-05-31. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-31.