Organization
TWIN CITY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN THOMAS KIEFER RPH (PHARMACIST / OWNER)
(573) 238-4177
Entity
Organization
Contact information
Practice address
106 NORTH 1ST, MARBLE HILL, MO 63764
(573) 238-4177
(573) 238-4986
Mailing address
PO BOX 739, 106 N FIRST ST, MARBLE HILL, MO 63764-0739
(573) 238-4177
(573) 238-4986
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10044744
MO
3336L0003X
Long Term Care Pharmacy
005585
MO
Other
Enumeration date
08/17/2006
Last updated
06/05/2018
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