Provider Demographics
NPI:1639886302
Name:TWINS PHARMACY INC
Entity type:Organization
Organization Name:TWINS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-640-5942
Mailing Address - Street 1:PO BOX 140640
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0640
Mailing Address - Country:US
Mailing Address - Phone:787-816-9999
Mailing Address - Fax:787-816-9993
Practice Address - Street 1:CARR 2 KM 80.4 MARGINAL VISTA AZUL AVE.MIRAMAR
Practice Address - Street 2:URB VISTA AZUL BO HATO ABAJO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-816-9999
Practice Address - Fax:787-816-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF-972502OtherDEPARTMENT OF HEALTH (PHARMACY LICENSE)