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Organization
PUBLIX
Active
Organization
PUBLIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KANE (VP BEN ADM AND ASSISTANT SECRETARY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
2840 DAVID WALKER DR, EUSTIS, FL 32726-6172
(352) 357-9168
Mailing address
2840 DAVID WALKER DR, EUSTIS, FL 32726-6172
(352) 357-9168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0053563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS0053563
LICENSE
FL
Enumeration date
07/27/2015
Last updated
07/27/2015
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