MEDICARE: TWINSRX LLC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PP413256L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2152006	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104995836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWINSRX LLC

Provider Business Mailing Address
First Line	:	PO BOX 364
Second Line	:
City	:	NEW ALEXANDRIA
State	:	PA
Zip	:	15670-0364
Country	:	US
Telephone Number	:	724-668-2284
Fax Number	:	724-668-7252

Provider Business Practice Location Address
First Line	:	8279 STATE ROUTE 22 STE 10
Second Line	:
City	:	NEW ALEXANDRIA
State	:	PA
Zip	:	15670-3155
Country	:	US
Telephone Number	:	724-668-2284
Fax Number	:	724-668-7252

Authorized Official
Title or Position	:	OWNER/PHARMACIST MANAGER
Name	:	DAVID ANTHONY TYLAVSKY
Credential	:
Telephone Number	:	724-668-2284

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	02/08/2022

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Directions to “TWINSRX LLC ” Practice Location

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