Organization
PUBLIX SUPER MARKETS INC
Active
Other names
PUBLIX PHARMACY #0364
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH POPE (CONTRACT ADMINISTRATOR)
(863) 688-1188
Entity
Organization
Contact information
Practice address
5600 W SAMPLE RD, MARGATE, FL 33073-3423
(954) 977-2991
(954) 977-2670
Mailing address
5600 W SAMPLE RD, MARGATE, FL 33073-3423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH0010534
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1061857
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/08/2006
Last updated
11/23/2007
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