Organization
PUBLIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CONIGLIARO (PHARMACIST)
(407) 491-5149
Entity
Organization
Contact information
Practice address
12195 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6502
(407) 816-4233
Mailing address
12195 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6502
(407) 816-4233
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS43863
FL
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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