Provider Demographics
NPI:1285830539
Name:NATIONS MEDICINES LOW COST PRESCRIPTIONS INC
Entity Type:Organization
Organization Name:NATIONS MEDICINES LOW COST PRESCRIPTIONS INC
Other - Org Name:PRN COMPOUNDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:NATION
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:270-685-0402
Mailing Address - Street 1:3030 BURLEW BLVD
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-6486
Mailing Address - Country:US
Mailing Address - Phone:270-685-0402
Mailing Address - Fax:270-685-5742
Practice Address - Street 1:3030 BURLEW BLVD
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-6486
Practice Address - Country:US
Practice Address - Phone:270-685-0402
Practice Address - Fax:270-685-5742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP061963336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYBP4907020OtherDEA REGISTRATION