Organization
BON HARBOR RX, LLC
Active
Organization
BON HARBOR RX, LLC
Active
Other names
Nation's Medicines
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LARRY NATION (MEMBER/PHARMACIST)
(270) 864-5398
Entity
Organization
Contact information
Practice address
415 CARTER RD, OWENSBORO, KY 42301
(270) 685-0557
(270) 688-5858
Mailing address
3030 BURLEW BLVD, OWENSBORO, KY 42303-6486
(270) 684-5398
(270) 685-5742
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PO1433
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030122
PK
—
05
—
54017090
—
KY
05
—
90330309
—
KY
Enumeration date
09/12/2006
Last updated
04/07/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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