Tri State Rx, Llc
Durable Medical Equipment & Medical Supplies
4849 Pollack Ave, Evansville
Indiana, 47715-5750
812-962-4664 812-962-4660
Tri State Rx, Llc is not a DME supplier for medicare equipment and products.Tri State Rx, Llc is a Durable Medical Equipment & Medical Supplies in Evansville, Indiana. It is located at 4849 Pollack Ave, Evansville and it's customer support contact number is 812-962-4664. The authorized person of Tri State Rx, Llc is Mr. Mark Allen Haywood, RPH who is Pharmacy Manager of this DME and his contact number is 812-962-4664. Active license number of Tri State Rx, Llc is 200460670A for Durable Medical Equipment & Medical Supplies in Indiana.
Tri State Rx, Llc 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.
DME Supplier Details:
Tri State Rx, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Tri State Rx, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4849 Pollack Ave, Evansville, Indiana, 47715-5750 |
| Phone: | 812-962-4664 |
| Fax: | 812-962-4660 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Mark Allen Haywood |
| Credentials: | RPH |
| Position: | Pharmacy Manager |
| Contact Number: | 812-962-4664 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1952558686 |
| NPI Enumeration Date: | 25 Aug, 2008 |
| NPI Last Update On: | 25 Aug, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tri State Rx, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 200460670A | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200460670A | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3030 Burlew Blvd, Owensboro, Kentucky |
| Zip: | 42303-6486 |
| Phone Number: | 270-685-4931 |
| Fax Number: | 270-685-5742 |
Patients can reach Tri State Rx, Llc at
4849 Pollack Ave, Evansville, Indiana or can
call on customer care at 812-962-4664.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.