Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #0774
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
2633 N DIXIE HWY, WILTON MANORS, FL 33334-3724
(954) 561-4337
(954) 840-8271
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008493400
—
FL
01
—
2138775
PK
—
Enumeration date
01/25/2013
Last updated
01/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us