Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1399
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
255 E VAN FLEET DR, BARTOW, FL 33830-3831
(863) 534-1824
(863) 534-3151
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH25651
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004288900
—
FL
01
—
2132242
PK
—
Enumeration date
09/21/2011
Last updated
01/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us