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Organization

PUBLIX SUPER MARKETS, INC.

Active
Other names
Publix Pharmacy #1895
Organization subpart
No

Provider details

NPI number
Authorized official
DAIN RUSK (VP OF PHARMACY)
(863) 688-1188
Entity
Organization

Contact information

Practice address
7230 W ATLANTIC BLVD, MARGATE, FL 33063-4236
(954) 590-4057
(954) 642-1935
Mailing address
PO BOX 407, LAKELAND, FL 33802-0407
(863) 688-1188

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
10/18/2024
Last updated
02/27/2025
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