Provider Demographics
NPI:1386798676
Name:CABAN, LUIS E (PHARMD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:E
Last Name:CABAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 INDIAN TRCE
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-4551
Mailing Address - Country:US
Mailing Address - Phone:954-446-6550
Mailing Address - Fax:954-446-6553
Practice Address - Street 1:54 INDIAN TRCE
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-4551
Practice Address - Country:US
Practice Address - Phone:954-446-6550
Practice Address - Fax:954-446-6553
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31202183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist