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Organization
TRITON MEDICAL SUPPLY, LLC
Active
Organization
TRITON MEDICAL SUPPLY, LLC
Active
Other names
Triton Medical Supply, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN CALAVAZA (OWNER)
(505) 977-7579
Entity
Organization
Contact information
Practice address
929 HENRIETTA DR, GALLUP, NM 87301-5441
(505) 977-7579
Mailing address
PO BOX 8028, ALBUQUERQUE, NM 87198-8028
(505) 977-7579
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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