Organization
PUBLIX SUPER MARKETS INC
Active
Other names
PUBLIX PHARMACY #0292
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH POPE (CONTRACT ADMINISTRATOR)
(863) 688-1188
Entity
Organization
Contact information
Practice address
7060 W PALMETTO PARK RD, BOCA RATON, FL 33433-3411
(561) 447-6959
(561) 447-7941
Mailing address
7060 W PALMETTO PARK RD, BOCA RATON, FL 33433-3411
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH0018494
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095187
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/06/2006
Last updated
11/23/2007
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