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NPI Code Detail

MEDICARE: TWIN CHEMISTS INC

MEDICARE: TWIN CHEMISTS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy033124NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1033124OTHERNYBOP
22158887OTHERPK
35816078OTHERNCPDP

General Provider Information

NPI Number : 1801257704
Entity Type Code : Organization
Provider Name (Legal Business Name) : TWIN CHEMISTS INC
Provider Business Mailing Address
First Line : 353 NEWBRIDGE RD
Second Line :
City : EAST MEADOW
State : NY
Zip : 11554-4120
Country : US
Telephone Number : 516-785-0120
Fax Number : 516-785-0715
Provider Business Practice Location Address
First Line : 2226 JERICHO TPKE
Second Line :
City : GARDEN CITY PARK
State : NY
Zip : 11040-4708
Country : US
Telephone Number : 516-873-8600
Fax Number : 516-873-8604
Authorized Official
Title or Position : OWNER, AO
Name : MR. RANDOLPH MOHABIR
Credential :
Telephone Number : 516-785-0120
Provider Enumeration Date : 03/19/2016
Last Update Date : 07/08/2020

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