Organization
TRI-MED PHARMACY LLC
Active
Organization
TRI-MED PHARMACY LLC
Active
Other names
Orion Rx - Memphis
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KONAK (DIRECTOR OF PHARMACY BILING)
(727) 269-9246
Entity
Organization
Contact information
Practice address
2565 HORIZON LAKE DR STE 113, MEMPHIS, TN 38133-8113
(901) 969-0690
(855) 549-0648
Mailing address
12468 LA GRANGE RD, #123, LOUISVILLE, KY 40245-1901
(727) 269-9246
(855) 549-0648
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
4372
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126379
PK
—
Enumeration date
08/03/2010
Last updated
10/01/2015
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