Provider Demographics
NPI:1932960556
Name:TRIANGLE PHARMACY LLC
Entity Type:Organization
Organization Name:TRIANGLE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSPEH
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:575-361-6841
Mailing Address - Street 1:1133 TRACY PL
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-5270
Mailing Address - Country:US
Mailing Address - Phone:575-361-6841
Mailing Address - Fax:
Practice Address - Street 1:12165 N HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:CEDAR CREST
Practice Address - State:NM
Practice Address - Zip Code:87008-9461
Practice Address - Country:US
Practice Address - Phone:505-886-9905
Practice Address - Fax:505-886-9906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy