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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