Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1256
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
7936 GA HIGHWAY 21, PORT WENTWORTH, GA 31407-9720
(912) 966-5895
(912) 662-8793
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010196
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003170433A
—
GA
01
—
2154748
PK
—
Enumeration date
10/06/2015
Last updated
11/18/2019
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