MEDICARE: TWK 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1407139009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWK INC.

Provider Business Mailing Address
First Line	:	PO BOX 53
Second Line	:
City	:	LUSK
State	:	WY
Zip	:	82225-0053
Country	:	US
Telephone Number	:	308-282-1114
Fax Number	:	308-334-2026

Provider Business Practice Location Address
First Line	:	116 N MAIN ST
Second Line	:
City	:	GORDON
State	:	NE
Zip	:	69343-1524
Country	:	US
Telephone Number	:	308-282-1114
Fax Number	:	307-334-3132

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KIRK F BEMIS
Credential	:	RPH.
Telephone Number	:	307-331-8413

Provider Enumeration Date	:	09/21/2011
Last Update Date	:	09/21/2011

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Directions to “TWK INC. ” Practice Location

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