Provider Demographics
NPI:1902094170
Name:TWINS PHARMACY INC
Entity Type:Organization
Organization Name:TWINS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-640-5942
Mailing Address - Street 1:PARC SAN ANTONIO
Mailing Address - Street 2:#21 CARR 696 SUITE 1
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-5767
Mailing Address - Country:US
Mailing Address - Phone:787-278-3300
Mailing Address - Fax:787-278-6100
Practice Address - Street 1:CARR 696 KM 1 3 LOTE 21 BO HIGUILLAR
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-278-3300
Practice Address - Fax:787-278-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19F25593336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2087576OtherPK