Provider Demographics
NPI:1083332068
Name:TWIN CITY PHARMACY & SURGICAL
Entity Type:Organization
Organization Name:TWIN CITY PHARMACY & SURGICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-755-7696
Mailing Address - Street 1:1708 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5519
Mailing Address - Country:US
Mailing Address - Phone:908-755-7696
Mailing Address - Fax:
Practice Address - Street 1:1708 PARK AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5519
Practice Address - Country:US
Practice Address - Phone:908-755-7696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy