Provider Demographics
NPI:1013254580
Name:THE TRIPP COMPANY
Entity type:Organization
Organization Name:THE TRIPP COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HORACE
Authorized Official - Last Name:TRIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-746-3126
Mailing Address - Street 1:131 THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:AYDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28513-7252
Mailing Address - Country:US
Mailing Address - Phone:252-746-3126
Mailing Address - Fax:252-746-2319
Practice Address - Street 1:131 THIRD STREET
Practice Address - Street 2:
Practice Address - City:AYDEN
Practice Address - State:NC
Practice Address - Zip Code:28513-7252
Practice Address - Country:US
Practice Address - Phone:252-746-3126
Practice Address - Fax:252-746-2319
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIPP COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC036093336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy