Organization
TRI-STATE RX LLC
Active
Organization
TRI-STATE RX LLC
Active
Other names
NATIONS MEDICINES
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NATION RPH BS (OWNER)
(270) 684-5398
Entity
Organization
Contact information
Practice address
4849 POLLACK AVE, EVANSVILLE, IN 47715-5750
(812) 962-4664
(812) 962-4660
Mailing address
3030 BURLEW BLVD, OWENSBORO, KY 42303-6486
(270) 684-5398
(270) 683-8373
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60005757A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200455200
—
IN
01
—
2024675
PK
—
Enumeration date
09/12/2006
Last updated
02/22/2017
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