Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #0330
Organization subpart
No
Provider details
NPI number
Authorized official
DALE HOUSTON RPH (MANAGER OF MANAGED CARE)
(863) 688-1188
Entity
Organization
Contact information
Practice address
4860 DAVIS BLVD, NAPLES, FL 34104-5337
(239) 417-6630
(239) 417-6634
Mailing address
PO BOX 116181, ATLANTA, GA 30368-6181
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH0020003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026977800
—
FL
01
—
2007456
PK
—
Enumeration date
06/05/2006
Last updated
10/11/2013
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