Organization
PUBLIX SUPER MARKETS, INC.
Active
Other names
Publix Pharmacy #1209
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP, PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
1100 6TH ST, MIAMI BEACH, FL 33139-6312
(305) 459-7222
(786) 206-5890
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(186) 368-8118
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
02/01/2022
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