Organization
PUBLIX SUPER MARKETS INC.
Active
Other names
Publix Central Pharmacy #3202-03
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
200 ACCOLADE AVENUE, C/O PHARM OPS - LICENSING #3202-03, SAINT JOHNS, FL 32259
(863) 688-1188
(863) 616-5810
Mailing address
P.O. BOX 407, C/O PHARM OPS - LICENSING #3202-03, LAKELAND, FL 33802-0407
(863) 688-1188
(863) 616-5810
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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