Provider Demographics
NPI:1609960178
Name:TRIPLITT DRUG CORPORATION
Entity Type:Organization
Organization Name:TRIPLITT DRUG CORPORATION
Other - Org Name:TRIPLITT PHARMACY & GIFTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-622-2023
Mailing Address - Street 1:523 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1628
Mailing Address - Country:US
Mailing Address - Phone:740-622-2023
Mailing Address - Fax:740-622-2906
Practice Address - Street 1:523 MAIN ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1628
Practice Address - Country:US
Practice Address - Phone:740-622-2023
Practice Address - Fax:740-622-2906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
OH0200830003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH8882339Medicaid
2071866OtherPK
2071866OtherPK