Organization
ABACOA PHARMACY INC
Active
Other names
ABACOA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SALIM SOUFAN (RPH/OWNER)
(561) 660-7585
Entity
Organization
Contact information
Practice address
500 UNIVERSITY BLVD STE 108, JUPITER, FL 33458-2774
(561) 660-7585
(561) 660-7594
Mailing address
500 UNIVERSITY BLVD STE 108, JUPITER, FL 33458-2774
(561) 660-7585
(561) 660-7594
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH31846
FLORIDA PHARMACY LICENSE
FL
Enumeration date
01/18/2019
Last updated
04/27/2026
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