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Organization
PUBLIX STORE #1339
Active
Organization
PUBLIX STORE #1339
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARQUIS (FLOATER PHAR)
(434) 996-2966
Entity
Organization
Contact information
Practice address
4950 BELLE TERRE PKWY, PALM COAST, FL 32137-8692
(434) 996-2666
Mailing address
4950 BELLE TERRE PKWY, PALM COAST, FL 32137-8692
(434) 996-2666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53068
FL
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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