Organization
PUBLIX SUPER MARKETS, INC
Active
Other names
Publix Pharmacy #3213
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
1950 SAND LAKE RD BLDG 5, ORLANDO, FL 32809-7632
(855) 797-8254
(863) 413-5723
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
07/09/2025
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