Provider Demographics
NPI:1851618144
Name:TWIN RX INC
Entity Type:Organization
Organization Name:TWIN RX INC
Other - Org Name:TWIN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V.P
Authorized Official - Prefix:MR
Authorized Official - First Name:RAVIKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAMIDELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-242-7349
Mailing Address - Street 1:4050 WHITE PLAINS ROAD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466
Mailing Address - Country:US
Mailing Address - Phone:718-881-4848
Mailing Address - Fax:
Practice Address - Street 1:4050 WHITE PLAINS ROAD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466
Practice Address - Country:US
Practice Address - Phone:718-881-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy