Provider Demographics
NPI:1801514351
Name:TWINS PHARMACY 65 INC
Entity type:Organization
Organization Name:TWINS PHARMACY 65 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:FEHMI-IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-553-5561
Mailing Address - Street 1:AVE 65 INFANTERIA PARCELA #394 KM 3.4
Mailing Address - Street 2:HILL BROTHER BO SABANA LLANA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-523-6683
Mailing Address - Fax:
Practice Address - Street 1:AVE 65 INFANTERIA PARCELA #394
Practice Address - Street 2:HILL BROTHER BO SABANA LLANA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-523-6683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy