OrganizationPharmacy At Abacoa, Inc.(A&R Pharmacy)PharmacySuppliersPractice Address1155 Main St Ste 109, Jupiter, FL 33458-5264(561) 900-3770(855) 349-6800PECOS EnrollmentBased on the most recent information from CMS, provider Pharmacy At Abacoa, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1881138469Provider TypeOrganizationFull NamePharmacy At Abacoa, Inc.Other NameA&R PharmacySubpartNoEnumeration Date12/15/2016Last Updated1/18/2024Contact InformationPractice LocationPractice Address1155 Main St Ste 109, Jupiter, FL 33458-5264Phone(561) 900-3770Fax(561) 900-3771Mailing LocationMailing AddressPO Box 912, Jupiter, FL 33468-0912Phone(855) 349-6800Fax(855) 349-6801Authorized OfficialNameSpivak, Daniel (Owner)Phone(703) 349-6800Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicenseUnlisted IssuerCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2166791DescriptionOtherIssuerPK