Individual
TAMMY TWAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
601 E 12TH ST, SUITE 227, KANSAS CITY, MO 64106-2818
(816) 426-5783
(816) 426-7604
Mailing address
13700 W 69TH ST, SHAWNEE, KS 66216-2308
(913) 268-8963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-11320
KS
183500000X
Pharmacist
Primary
10454
OK
Other
Enumeration date
08/11/2006
Last updated
10/22/2008
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