Provider Demographics
NPI:1528381415
Name:TRIPLE RESOURCES,INC
Entity Type:Organization
Organization Name:TRIPLE RESOURCES,INC
Other - Org Name:TIMES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUSEGUN
Authorized Official - Middle Name:
Authorized Official - Last Name:AYUBA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:813-237-6900
Mailing Address - Street 1:2210 E HILLSBOROUGH AVE # 4
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-4403
Mailing Address - Country:US
Mailing Address - Phone:813-237-6900
Mailing Address - Fax:813-237-8900
Practice Address - Street 1:2210 E HILLSBOROUGH AVE # 4
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-4403
Practice Address - Country:US
Practice Address - Phone:813-237-6900
Practice Address - Fax:813-237-8900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIPLE RESOURCES,IN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-05
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH245723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy