Healthcare Provider Details

I. General information

NPI: 1609311299
Provider Name (Legal Business Name): TWINSRX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 PENN PLZ
TURTLE CREEK PA
15145-1914
US

IV. Provider business mailing address

PO BOX 42
TURTLE CREEK PA
15145-0042
US

V. Phone/Fax

Practice location:
  • Phone: 412-646-2619
  • Fax: 412-646-4134
Mailing address:
  • Phone: 412-646-2619
  • Fax: 412-646-4134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP482699
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier2166950
Identifier TypeOTHER
Identifier State
Identifier IssuerPK
# 2
Identifier1029959720002
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: DAVID TYLAVSKY
Title or Position: PHARMACIST MANAGER/MANAGING MEMBER
Credential:
Phone: 724-668-2284