Provider Demographics
NPI:1902664899
Name:TWINSRX LLC
Entity Type:Organization
Organization Name:TWINSRX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:TYLAVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:724-668-2284
Mailing Address - Street 1:PO BOX 364
Mailing Address - Street 2:
Mailing Address - City:NEW ALEXANDRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15670-0364
Mailing Address - Country:US
Mailing Address - Phone:724-668-2284
Mailing Address - Fax:724-668-7252
Practice Address - Street 1:8279 STATE ROUTE 22 STE 10
Practice Address - Street 2:
Practice Address - City:NEW ALEXANDRIA
Practice Address - State:PA
Practice Address - Zip Code:15670-3180
Practice Address - Country:US
Practice Address - Phone:724-668-2284
Practice Address - Fax:724-668-7252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy