Healthcare Provider Details

I. General information

NPI: 1194718411
Provider Name (Legal Business Name): TWIN CITY DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 HICKORY HILLS DR
HELENA AR
72342-2301
US

IV. Provider business mailing address

109 HICKORY HILLS DR
HELENA AR
72342-2301
US

V. Phone/Fax

Practice location:
  • Phone: 870-338-8351
  • Fax: 870-338-3965
Mailing address:
  • Phone: 870-338-8351
  • Fax: 870-338-3965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR18411
License Number StateAR

VIII. Authorized Official

Name: EDWARD WRIGHT
Title or Position: OWNER
Credential: PHARM.D.
Phone: 870-338-8351