MEDICARE: TWIN CITY DRUGS 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	3336L0003X	Long Term Care Pharmacy
3	333600000X	Pharmacy
4	3336C0003X	Community/Retail Pharmacy	AR18411	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1995481	OTHER	PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194718411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWIN CITY DRUGS INC

Provider Business Mailing Address
First Line	:	109 HICKORY HILLS DR
Second Line	:
City	:	HELENA
State	:	AR
Zip	:	72342-2301
Country	:	US
Telephone Number	:	870-338-8351
Fax Number	:	870-338-3965

Provider Business Practice Location Address
First Line	:	109 HICKORY HILLS DR
Second Line	:
City	:	HELENA
State	:	AR
Zip	:	72342-2301
Country	:	US
Telephone Number	:	870-338-8351
Fax Number	:	870-338-3965

Authorized Official
Title or Position	:	OWNER
Name	:	EDWARD WRIGHT
Credential	:	PHARM.D.
Telephone Number	:	870-338-8351

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	02/20/2017

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Directions to “TWIN CITY DRUGS INC ” Practice Location

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