Organization
TRITON SUPPLY
Active
Other names
Triton Supply LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER PACE (OWNER-MANAGER)
(480) 795-7955
Entity
Organization
Contact information
Practice address
6855 S KYRENE RD STE 101, TEMPE, AZ 85283-5455
(480) 795-7955
(602) 428-6841
Mailing address
7227 E BASELINE RD STE 126, MESA, AZ 85209-5006
(480) 795-7955
(602) 428-6841
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
07/07/2015
Last updated
09/29/2025
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