MEDICARE: TRIANGLE PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PHY.005861-IR	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2032379	OTHER		PK

General Provider Information

NPI Number	:	1740326396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIANGLE PHARMACY LLC

Provider Business Mailing Address
First Line	:	PO BOX 1508
Second Line	:
City	:	JENA
State	:	LA
Zip	:	71342-1508
Country	:	US
Telephone Number	:	918-992-4447
Fax Number	:	318-992-8169

Provider Business Practice Location Address
First Line	:	3148 W OAK ST
Second Line	:
City	:	JENA
State	:	LA
Zip	:	71342-4404
Country	:	US
Telephone Number	:	318-992-4447
Fax Number	:	318-992-8169

Authorized Official
Title or Position	:	PIC
Name	:	KAREN THOMPSON
Credential	:	RPH
Telephone Number	:	318-992-4447

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	07/18/2025

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Directions to “TRIANGLE PHARMACY LLC ” Practice Location

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