Organization
PUBLIX SUPER MARKETS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
8300 BEE RIDGE RD, SARASOTA, FL 34241-6312
(941) 378-2029
(941) 377-6359
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH24010
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001716200
—
FL
01
—
2119893
PK
—
Enumeration date
04/16/2009
Last updated
12/06/2019
About Stedi
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