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NPI 1740326396

NPI 1740326396 : TRIANGLE PHARMACY LLC : JENA, LA

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General NPI Number Information
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    NPI Number           |    1740326396
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRIANGLE PHARMACY LLC 
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Dates
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    Enumeration Date     |    01/30/2007
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    Last Update Date     |    07/18/2025
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Provider Practice Location Address
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    Address Line         |    3148 W OAK ST 
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    City                 |    JENA
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    State                |    LA
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    Zip                  |    71342-4404
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    Country              |    US
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    Telephone            |    318-992-4447
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    Fax                  |    318-992-8169
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1508 
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    City                 |    JENA
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    State                |    LA
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    Zip                  |    71342-1508
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    Country              |    US
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    Telephone            |    918-992-4447
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    Fax                  |    318-992-8169
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Authorized Official
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    Title or Position    |    PIC
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    Name                 |     KAREN  THOMPSON 
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    Credential           |    RPH
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    Telephone            |    318-992-4447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    PHY.005861-IR
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    License Number State |    LA
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