Organization
PUBLIX SUPER MARKERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE FAYE CONKLIN PHARM D (PHARMACIST)
(239) 823-5898
Entity
Organization
Contact information
Practice address
162 S HAMPTON DR, JUPITER, FL 33458-8108
(239) 823-5898
Mailing address
162 S HAMPTON DR, JUPITER, FL 33458-8108
(239) 823-5898
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS49330
FL
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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