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Organization

TRITON SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD MANGUM (OWNER)
(435) 514-5646
Entity
Organization

Contact information

Practice address
3831 E BLUE LUPINE DR STE B2, WASILLA, AK 99654-8461
(907) 561-9220
(907) 561-9221
Mailing address
PO BOX 4682, LOGAN, UT 84323-4682
(800) 599-8553
(435) 774-1919

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/02/2023
Last updated
03/12/2025
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