Provider Demographics
NPI:1114356953
Name:TRIANGLE PHARMACY SOLUTIONS LLC
Entity Type:Organization
Organization Name:TRIANGLE PHARMACY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JASPER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LOVOI
Authorized Official - Suffix:II
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:409-838-1500
Mailing Address - Street 1:3480 FANNIN ST
Mailing Address - Street 2:SUITE M
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3814
Mailing Address - Country:US
Mailing Address - Phone:409-838-1500
Mailing Address - Fax:409-838-1501
Practice Address - Street 1:3480 FANNIN ST
Practice Address - Street 2:SUITE M
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3814
Practice Address - Country:US
Practice Address - Phone:409-838-1500
Practice Address - Fax:409-838-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX287773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy