Abu-Seifen Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH20022 Issued in FL

Legal business name

ABU-SEIFEN CORP.

Doing business as

premier pharmacy

Practice address

158 Ridgewood Ave
Holly Hill, FL 32117-5028

Phone

(386) 238-3500

Fax

(386) 238-8855

NPI assigned

Nov 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Evette A Saad, PHARMACIST

Title

Pharmacy Manager

Phone

(386) 238-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• premier pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1184790537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 RIDGEWOOD AVE",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321175028",
            "telephone_number": "386-238-3500",
            "fax_number": "386-238-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 RIDGEWOOD AVE",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321175028",
            "telephone_number": "386-238-3500",
            "fax_number": "386-238-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABU-SEIFEN CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "386-238-3500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH20022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "1005998",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "premier pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Holly Hill, FL
• Providers in Holly Hill, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.