Organization
TRITON SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CHAD MANGUM (OWNER)
(435) 557-6687
Entity
Organization
Contact information
Practice address
691 W 1725 N, LOGAN, UT 84321-6783
(435) 557-6687
Mailing address
258 S MAIN ST STE 210, LOGAN, UT 84321-5768
(309) 532-7226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
03/10/2025
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