NPI 1326744137
Triton Supply
Practice location
- Address
- 3831 E Blue Lupine Dr STE B2, Wasilla, AK 99654-8461
- Phone
- (907) 561-9220
- Fax
- (907) 561-9221
- Mailing address
- PO Box 4682, Logan, UT 84323-4682
Authorised official
- Name
- Chad Mangum
- Title
- Owner
- Phone
- (435) 514-5646
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1326744137
- Entity type
- Organization
- NPI issued
- 2 Feb 2023
- Record last updated
- 12 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.