Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1352
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
6700 BAYSHORE RD, NORTH FORT MYERS, FL 33917-3305
(239) 567-1828
(239) 243-9791
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006314900
—
FL
05
—
006314901
—
FL
01
—
2135689
PK
—
Enumeration date
06/18/2012
Last updated
12/03/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us