Organization
PUBLIX NORTH CAROLINA LP
Active
Other names
Publix Pharmacy #1533
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
2004 S GLENBURNIE RD, NEW BERN, NC 28562-5227
(252) 634-1716
(252) 772-4338
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
13023
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160326
PK
—
Enumeration date
05/25/2016
Last updated
01/03/2020
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