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General NPI Number Information
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NPI Number | 1801514351
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Entity Type | Organization
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Legal Business Name | TWINS PHARMACY 65 INC
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | AVE 65 INFANTERIA PARCELA #394 HILL BROTHER BO SABANA LLANA
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-523-6683
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Fax |
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Provider Business Mailing Address
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Address Line | AVE 65 INFANTERIA PARCELA #394 KM 3.4 HILL BROTHER BO SABANA LLANA
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-523-6683
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAHDI FEHMI-IBRAHIM
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Credential |
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Telephone | 787-553-5561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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