Organization
PUBLIX SUPER MARKETS, INC
Active
Other names
Publix Pharmacy #1752
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
3815 TAMIAMI TRL E, NAPLES, FL 34112-6224
(239) 963-0231
(239) 234-1027
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
01/27/2022
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