Organization
TRI-STATE RX LLC
Active
Other names
Nation's Medicines
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NATION RPH BS (PHARMACIST/OWNER)
(270) 684-5398
Entity
Organization
Contact information
Practice address
3408 N 1ST AVE, EVANSVILLE, IN 47710-3302
(812) 422-8255
(270) 685-5742
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
60006206A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122064
PK
—
Enumeration date
09/21/2009
Last updated
02/22/2017
About Stedi
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