1639886302 NPI number — TWINS PHARMACY INC

Table of content: (NPI 1639886302)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639886302 NPI number — TWINS PHARMACY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TWINS PHARMACY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639886302
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/02/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 140640
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARECIBO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00614-0640
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-816-9999
Provider Business Mailing Address Fax Number:
787-816-9993

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 2 KM 80.4 MARGINAL VISTA AZUL AVE.MIRAMAR
Provider Second Line Business Practice Location Address:
URB VISTA AZUL BO HATO ABAJO
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-816-9999
Provider Business Practice Location Address Fax Number:
787-816-9993
Provider Enumeration Date:
11/02/2022

Additional Information

Authorized Official

Authorized Official Last Name:
OTERO
Authorized Official First Name:
JEANNETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-640-5942

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: F-972502 . This is a "DEPARTMENT OF HEALTH (PHARMACY LICENSE)" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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