Organization
PUBLIX SUPER MARKETS INC
Active
Other names
PUBLIX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH POPE (CONTRACT ADMINISTRATOR)
(863) 688-1188
Entity
Organization
Contact information
Practice address
1250 TECH DR, NORCROSS, GA 30093-2576
(770) 717-3150
(770) 921-0278
Mailing address
1250 TECH DR, NORCROSS, GA 30093-2576
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHRE007454
GA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00519406A
—
GA
01
—
1138191
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/06/2006
Last updated
09/20/2007
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