Organization
PUBLIX SUPER MARKETS, INC.
Active
Other names
Publix Pharmacy 0532
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
939 W BRANDON BLVD, BRANDON, FL 33511-4905
(813) 684-6974
(813) 793-7011
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 688-5810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
08/23/2022
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