Organization
HAWA PHARMACY INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
JOE IBSSA RPH (OWNER PHARMACIST)
(407) 656-0081
Entity
Organization
Contact information
Practice address
646 S DILLARD ST, WINTER GARDEN, FL 34787-3903
(407) 656-0081
(407) 656-0147
Mailing address
646 S DILLARD ST, WINTER GARDEN, FL 34787-3903
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH18281
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042845
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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