# TWIN PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dabney's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710034657
- **Authorized official:** MS. DENISE E WILSON RUANE (SECRETARY OFFICER)
- **Authorized official phone:** (323) 757-2263

## Contact information

- **Practice address:** 11115 S MAIN ST, LOS ANGELES, CA 90061-1925
- **Practice address phone:** (323) 757-2263
- **Practice address fax:** (323) 757-7792
- **Mailing address:** 11115 S MAIN ST, LOS ANGELES, CA 90061-1925
- **Mailing address phone:** (323) 757-2263
- **Mailing address fax:** (323) 757-7792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | CA | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 03/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0506610 | NCPDP | CA |
| 01 | — | PHA467450 | MEDI-CAL | CA |
| 01 | — | PHY46745 | CALIFORNIA PHARM LICENSE | CA |