MEDICARE: TRIPLE RESOURCES,INC

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	PH24572	FL

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

General Provider Information

NPI Number	:	1528381415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIPLE RESOURCES,INC

Provider Business Mailing Address
First Line	:	2210 E HILLSBOROUGH AVE # 4
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-4403
Country	:	US
Telephone Number	:	813-237-6900
Fax Number	:	813-237-8900

Provider Business Practice Location Address
First Line	:	2210 E HILLSBOROUGH AVE # 4
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-4403
Country	:	US
Telephone Number	:	813-237-6900
Fax Number	:	813-237-8900

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. OLUSEGUN AYUBA
Credential	:	PHARMACIST
Telephone Number	:	813-237-6900

Provider Enumeration Date	:	03/05/2010
Last Update Date	:	09/29/2016

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Directions to “TRIPLE RESOURCES,INC ” Practice Location

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