Healthcare Provider Details

I. General information

NPI: 1396090056
Provider Name (Legal Business Name): ARBOR PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 ROCK SPRINGS RD
APOPKA FL
32712-2387
US

IV. Provider business mailing address

1112 ROCK SPRINGS RD
APOPKA FL
32712-2387
US

V. Phone/Fax

Practice location:
  • Phone: 407-814-3977
  • Fax: 407-814-3971
Mailing address:
  • Phone: 407-814-3977
  • Fax: 407-814-3971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH26253
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DUC-TU TRAN
Title or Position: CEO/PHARMACY MANAGER
Credential:
Phone: 407-814-3977