MEDICARE: TAMMY TWAIT DPH

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	183500000X	Pharmacist	10454	OK
2	183500000X	Pharmacist	1-11320	KS

General Provider Information

NPI Number	:	1801807987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY TWAIT DPH

Provider Business Mailing Address
First Line	:	13700 W 69TH ST
Second Line	:
City	:	SHAWNEE
State	:	KS
Zip	:	66216-2308
Country	:	US
Telephone Number	:	913-268-8963
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E 12TH ST
Second Line	:	SUITE 227
City	:	KANSAS CITY
State	:	MO
Zip	:	64106-2818
Country	:	US
Telephone Number	:	816-426-5783
Fax Number	:	816-426-7604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	10/22/2008

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Directions to “ TAMMY TWAIT DPH” Practice Location

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