Organization
PUBLIX SUPER MARKETS, INC.
Active
Other names
Publix Pharmacy #1695
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
18485 S DIXIE HWY, CUTLER BAY, FL 33157-6817
(786) 732-8072
(305) 233-9537
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
06/23/2020
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