Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1427
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
2111 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4303
(850) 523-9857
(850) 999-4919
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022016700
—
FL
01
—
2012748
PK
—
Enumeration date
06/08/2006
Last updated
12/03/2019
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