Tri-State Rx LLC
Pharmacy, Community/Retail Pharmacy in Evansville, IN. Organization (NPI-2).
NPI number1184728131
StatusActive
Last updated in NPPESFeb 22, 2017
Details
- NPI
- 1184728131
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri-State Rx LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Feb 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 60005757A | IN | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Nations Medicines (Doing Business As)
Practice location
4849 Pollack AveEvansville, IN 47715-5750
Phone 812-962-4664 · Fax 812-962-4660
Mailing address
3030 Burlew BlvdOwensboro, KY 42303-6486
Phone 270-684-5398 · Fax 270-683-8373
Authorized official
David Nation
Owner
2706845398
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