Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #0652
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
11000 PEMBROKE RD, MIRAMAR, FL 33025-1704
(954) 441-7924
(954) 441-7928
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH0016512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012255
PK
—
05
—
220006600
—
FL
Enumeration date
06/05/2006
Last updated
12/03/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us