Organization
PUBLIX SUPER MARKETS, INC.
Active
Other names
Publix Pharmacy #1614
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
601 NW 2ND AVE, MIAMI, FL 33136-3942
(305) 341-9629
(305) 428-2405
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
02/01/2022
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