Organization
TWIN TIER MANAGEMENT CORP INC
Active
Other names
dba Med Supply Depot
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL MAZUR (CEO)
(614) 205-1979
Entity
Organization
Contact information
Practice address
1393 ELMIRA STREET, SAYRE, PA 18840-9284
(570) 888-3488
(570) 888-3696
Mailing address
1393 ELMIRA STREET, SAYRE, PA 18840-9284
(570) 888-3488
(570) 888-3696
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
8000000073
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
8000000073
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
8000000073
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
8000000073
PA
Other
Enumeration date
10/18/2005
Last updated
05/22/2025
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