Organization
PUBLIX SUPER MARKETS, INC
Active
Other names
Publix Pharmacy #1719
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
8160 WILES RD, CORAL SPRINGS, FL 33067-2041
(954) 688-5208
(754) 240-4800
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
12/28/2021
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