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Organization

PUBLIX SUPER MARKETS, INC.

Active
Other names
Publix Pharmacy #2051
Organization subpart
No

Provider details

NPI number
Authorized official
DAIN RUSK (VP OF PHARMACY)
(863) 688-1188
Entity
Organization

Contact information

Practice address
1952 STOCKTON WAY, LEXINGTON, KY 40511-2412
(859) 286-8294
(859) 963-7999
Mailing address
PO BOX 407, LAKELAND, FL 33802-0407
(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
09/16/2024
Last updated
11/27/2024
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