Organization
PUBLIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE HOUSTON (MANAGER OF MANAGED CARE)
(407) 366-9720
Entity
Organization
Contact information
Practice address
4250 ALAFAYA TRL, OVIEDO, FL 32765-9412
(407) 366-9720
Mailing address
4250 ALAFAYA TRL, OVIEDO, FL 32765-9412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS52695
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
—
—
Other
Enumeration date
10/16/2014
Last updated
07/02/2021
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