Organization
TRI-MED PHARMACY LLC
Active
Organization
TRI-MED PHARMACY LLC
Active
Other names
Orion Rx - Hendersonville
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KONAK (DIRECTOR OF PHARMACY BILLING)
(727) 269-9246
Entity
Organization
Contact information
Practice address
260 W MAIN ST STE 217, HENDERSONVILLE, TN 37075-7312
(615) 826-9393
(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
11500/7.1
MS
3336L0003X
Long Term Care Pharmacy
3089
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126372
PK
—
Enumeration date
07/22/2010
Last updated
10/01/2015
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