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TRI STATE RX LLC NPI 1952558686


NPI Information

NPI: 1952558686
Provider Name: TRI STATE RX, LLC

Doing Business As: NATION'S MEDICINES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4849 POLLACK AVE
EVANSVILLE, IN
ZIP 47715
Phone: (812) 962-4664
Get Directions

TRI STATE RX, LLC is a durable medical equipment medical supplies in Evansville, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. TRI STATE RX, LLC NPI is 1952558686. The provider is registered as an organization entity type.
The provider Is Doing Business As Nation's Medicines.

The provider's business location address is:

4849 POLLACK AVE
EVANSVILLE, IN
ZIP 47715-750
Phone: (812) 962-4664
Fax: (812) 962-4660

The provider's authorized official is Mark Allen Haywood .
The authorized official title is Pharmacy Manager and has the following contact phone number (812) 962-4664.

The enumeration date for this NPI number is 8/25/2008 and was last updated on 8/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies200460670AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200460670AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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