Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Red River Pharmacy Long Term Care, LLC

Organization Long Term Care Pharmacy · NPI 1447500590

Red River Pharmacy Long Term Care, LLC is a Long Term Care Pharmacy in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4801 Troup Hwy Ste 402
Tyler, TX 75703-2356
Phone: (903) 617-6885
Fax: (844) 308-8629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence 28138 (TX)

Record details

NPI number1447500590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Boudreaux — President/Owner · (903) 792-1721
Other names Red River Ltc Of Tyler; Red River Ltc Of Tyler
NPI enumeratedSeptember 17, 2012
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address1550 Moores Ln Ste A, Texarkana, TX 75503-4657

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