Organization
PUBLIX TENNESSEE, LLC
Active
Other names
Publix Pharmacy 1780
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
1931 LONG HOLLOW PIKE, GALLATIN, TN 37066
(615) 989-9142
(615) 823-1528
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
08/11/2023
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