Organization
PUBLIX SUPER MARKETS, INC
Active
Other names
Publix Tennessee, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
3300 PUBLIX CORPORATE PKWY, LAKELAND, FL 33811-3311
(863) 688-1188
(863) 616-5845
Mailing address
3300 PUBLIX CORPORATE PKWY, LAKELAND, FL 33811-3311
(863) 688-1188
(863) 616-5845
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
01/03/2020
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