Organization
PUBLIX NORTH CAROLINA, LP
Active
Other names
Publix Pharmacy #1603
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
513 BRENTWOOD RD, DENVER, NC 28037
(704) 972-2045
(828) 449-8290
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
01/03/2020
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