# PUBLIX SUPER MARKETS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Publix Pharmacy \#0727 DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316607591
- **Authorized official:** DAIN RUSK (VP PHARMACY)
- **Authorized official phone:** (863) 688-1188

## Contact information

- **Practice address:** 171 TOWN AND COUNTRY DR, PALATKA, FL 32177-3962
- **Practice address phone:** (863) 688-1188
- **Mailing address:** PO BOX 639680, CINCINNATI, OH 45263-9680
- **Mailing address phone:** (863) 688-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2021
- **Last updated:** 12/29/2021