Organization
PHARMACY AT ABACOA INC
Active
Other names
A&R Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SPIVAK (CEO)
(561) 630-3770
Entity
Organization
Contact information
Practice address
1155 MAIN ST, UNIT 109, JUPITER, FL 33458-5263
(561) 630-3770
(561) 630-3771
Mailing address
PO BOX 912, JUPITER, FL 33468-0912
(855) 349-6800
(561) 630-3771
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH30819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022716900
—
FL
01
—
2175233
PK
—
Enumeration date
01/04/2018
Last updated
12/10/2025
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