Organization
TWIN PHARMACY INC.
Active
Other names
Dabney's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE E WILSON RUANE (SECRETARY OFFICER)
(323) 757-2263
Entity
Organization
Contact information
Practice address
11115 S MAIN ST, LOS ANGELES, CA 90061-1925
(323) 757-2263
(323) 757-7792
Mailing address
11115 S MAIN ST, LOS ANGELES, CA 90061-1925
(323) 757-2263
(323) 757-7792
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0506610
NCPDP
CA
01
—
PHA467450
MEDI-CAL
CA
01
—
PHY46745
CALIFORNIA PHARM LICENSE
CA
Enumeration date
01/04/2007
Last updated
03/01/2019
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