Organization
PUBLIX SUPER MARKETS, INC.
Active
Other names
Publix Pharmacy #0518
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP, PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
3942 S SUNCOAST BLVD, HOMOSASSA, FL 34448-2601
(352) 423-5560
(352) 201-3355
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
01/28/2022
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