Organization
PUBLIX PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOPE (PHARMACIST)
(954) 675-5088
Entity
Organization
Contact information
Practice address
8101 W SUNRISE BLVD, PLANTATION, FL 33322-5401
(954) 473-9255
Mailing address
8101 W SUNRISE BLVD, PLANTATION, FL 33322-5401
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
PS54032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS54032
PHARMACIST
FL
Enumeration date
10/06/2015
Last updated
10/06/2015
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