Healthcare Provider Details

I. General information

NPI: 1982759023
Provider Name (Legal Business Name): TWIN HARBOR DRUG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 N. MONTESANO STREET
WESTPORT WA
98595-0385
US

IV. Provider business mailing address

PO BOX 453
WESTPORT WA
98595-0453
US

V. Phone/Fax

Practice location:
  • Phone: 360-268-0116
  • Fax: 360-268-1302
Mailing address:
  • Phone: 360-268-0505
  • Fax: 360-268-1302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH00007554
License Number StateWA

VIII. Authorized Official

Name: MARGERY ROXANE DELA CRUZ
Title or Position: PRESIDENT
Credential:
Phone: 206-962-4569