Provider Demographics
NPI:1407139009
Name:TWK INC.
Entity Type:Organization
Organization Name:TWK INC.
Other - Org Name:STOCKMENS DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:F
Authorized Official - Last Name:BEMIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:307-331-8413
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:LUSK
Mailing Address - State:WY
Mailing Address - Zip Code:82225-0053
Mailing Address - Country:US
Mailing Address - Phone:308-282-1114
Mailing Address - Fax:308-334-2026
Practice Address - Street 1:116 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GORDON
Practice Address - State:NE
Practice Address - Zip Code:69343-1524
Practice Address - Country:US
Practice Address - Phone:308-282-1114
Practice Address - Fax:307-334-3132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies